Tongue Necrosis as a Manifestation of Immune Dysfunction: A
Complex Case of Lupus, Histoplasmosis, and Macrophage Activation
Syndrome
Madalyn Walsh, MD1, Alick Feng, MD2,
Petar Lenart, MD PhD2, Bharat Kumar, MD
MME2
1Department of Internal Medicine, University of Iowa
Hospitals & Clinics
2Division of Immunology, University of Iowa Hospitals
& Clinics