7. Fissured tongue. Geographic tongue. Median rhomboid glossitis. Flashcards
Definition of fissured tongue
- Aka plicated tongue
- Common, benign normal tongue varient
- prevelance of 2-7% of population
Etiology of fissured tongue
- Developmental
- Hereditary
Clinical features of Fissured tongue
- Multiple fissures or grooves on dorsal surface of tongue
- Occasionally on lateral borders
- May have deep and wide central fissure and several transverse fissues
- Asymptomatic
- Fissures vary in size, depth and number
- Associated with geographic tongue
food debris, microorganisms, and fungi may be retained in the deeper fissures, causing
mild burning or soreness
Diagnosis of Fissured tongue
Based on clinical features
Differential diagnosis of fissured tongue
- Melkersson–Rosenthal syndrome
- Sjögren’s syndrome
- Interstitial syphilitic glossitis
Treatment of Fissured Tongue
No treatment required
Geographic tongue definition
- Common benign disorder affecting tongue
- Rarely rest of mucosa
Etiology of Geographic Tongue
- Unknown
- Implicated-Inherited gene pattern
Clinical features of Geographic Tongue
- Multiple erythematous, depapillated patches
- Asymptomatic
- Elevated whitish border
- Dorsum and lateral borders of tongue
- Vary in size(mm-cm)
- Coexist with fissured tongue
Rarely- buccal mucosa, floor of mouth, palate and labial mucosa(geographic stomatitis)
association with psoriasis and reactive arthritis
Diagnosis of Geographic tongue
Clinically
Differential diagnosis of Geographic tongue
- Candidiasis
- Oral psoriasis
- Reactive arthritis (Reiter’s
syndrome)
Treatment of Geographic tongue
- No treatment
- Reassurance
Definition of medium Rhomboid Glossitits
- Benign rare disorder
- Dorsum of tongue
Etiology of Median Rhomboid Glossitis
- Developmental
- Associated with C.Albicans infection
Clinical features of Median Rhomboid Glossitis
- Well demarcated, erythematous rhomboid area
- Along midline of dorsum
- Anterior to foramen cecum
- Asymptomatic
- Secondary infection of C.Albicans
