Extremely rare isolated and acquired oral presentation - Verrucous hemangioma

Imperial and Helwig originally described verrucous hemangioma as a vascular malformation that is present at birth, anatomic predilection for lower limbs, proportionate growth and equal sex distribution. Mucosal involvement, including the oral cavity, is seen occasionally as integration of a systemic variety or with multiple cutaneous lesions in other locations. Isolated oral involvement is extremely rare while acquired involvement of tongue without cutaneous or metabolic disease has not been reported in the literature. We present a case of verrucous hemangioma involving the lateral surface of the tongue in a 60-year-old male. Due to the unusual presentation we need to reconsider our current knowledge on the etio-pathogenesis of verrucous hemangioma and its clinical inclusion in the differential diagnosis of various verrucous lesions.