The tongue can also become inflamed. Although the tongue is not used often, we may accidentally bite it when eating. Recently, eating some foods that are easy to cause inflammation will slowly cause some ulcers to appear on the tongue. Tongue inflammation will damage the image and may even cause bad breath. In normal times, the cause must be found first before medication can be used. treat Treatment is directed at the cause. Check and actively treat systemic diseases such as anemia, gastrointestinal disorders, etc. Antibiotics should be used rationally, nutrition and diet should be adjusted rationally, and adequate amounts of B vitamins, especially riboflavin, should be supplemented. [1] Clinical manifestations 1. Damage characteristics There are several red spots on the tongue, and the surface is smooth like glaze. Most of the tongue surface may be purple-red beef-like and have a smooth surface. Superficial ulcers or recurrent vesicular stomatitis are often present on the erythema or on the normal tongue surface. Similar lesions may also occur in the vaginal mucosa of female patients at the same time. 2. Predisposing sites It is more common in the front of the tongue, especially the tip and edge of the tongue. The patient feels numbness and burning pain, which is more obvious when eating. Sometimes a decrease in saliva can cause symptoms such as dry mouth. 3. Course of disease The course of the disease is prolonged, with remission and aggravation alternating, and it is difficult to cure if the cause is not eliminated. Differential Diagnosis Different manifestations of glossitis indicate different conditions and should be differentiated from each other: 1. Smooth tongue The filiform papillae of the tongue atrophy, and the fungiform papillae swell and protrude. In the later stage, both atrophy, become thinner or disappear. The tongue surface is smooth, fiery red, and may have shallow fissures. This type of atrophic glossitis is often one of the signs of critical systemic disease or the patient's death. 2. Riboflavin deficiency Glossitis accompanied by angular cheilitis, cheilitis and/or scrotitis indicates leucocortin deficiency. 3. Glossitis in patients with pernicious anemia Tongue atrophy may be accompanied by painful, purple-red, chronically eroded patches on which the filiform papillae disappear or become thinner, the fungiform papillae swell, and there is sensitivity to irritating foods (i.e. Hunter glossitis). It is common on the tip, edge, and surface of the tongue, and occasionally on the mucosa of the lips, cheeks, and palate. |
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