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Glossitis

Karyn M. Sullivan, MPH, PharmD and George M. Abraham, FIDSA, FACP, MPH, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • An acute or chronic inflammation of the tongue, either as primary disease or a symptom of systemic disease

  • Common forms:

    • Atrophic glossitis (AG) or Hunter glossitis or smooth tongue

    • Geo...

DIAGNOSIS

  • Many cases are asymptomatic.

  • GT symptoms tend to wax and wane.

  • GT lesions are characterized by migratory pattern.

HISTORY

  • Oral discomfort

  • Burning sensation on tongue (often associated with nutrit...

TREATMENT

GENERAL MEASURES

  • Avoid any possible sensitizing irritants or agents (such as acidic or spicy foods and drinks).

  • Discontinue offending agent if medication-induced.

  • Analgesics when needed

  • Scrupulo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

If lesions do not heal, biopsy is indicated. 

Patient Monitoring

  • Revisit periodically when needed until healing occurs.

  • An oral examination is recommended in psoriat...

REFERENCES

1
Terai  H, Shimahara  M. Atrophic tongue associated with Candida . J Oral Pathol Med.  2005;34(7):397–400. [View Abstract on OvidMedline] ...

ADDITIONAL READING

  • Nuno Gonzalez A, Magaletskyy K, Martin Carrillo P, et al. Are oral mucosal changes a sign of COVI-19? A cross-sectional study at a field hospital. Actas Dermosi...

SEE ALSO

HIV/AIDS; Vitamin Deficiency 

CODES

ICD10

  • K14.0 Glossitis

  • K14.4 Atrophy of tongue papillae

  • K14.1 Geographic tongue

  • K14.2 Median rhomboid glossitis

SNOMED

  • 45534005 Glossitis (disorder)

  • 9491003 Atrophy of tongue papillae (disorder)

  • 59032001...

CLINICAL PEARLS

  • An acute or chronic inflammation of the tongue, either as primary disease or a symptom of systemic disease

  • The most common forms are as follows:

    • AG or Hunter glossitis: smooth, glossy, r...

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