By Gary M. White, MD
Median Rhomboid Glossitis
Primary Systemic Amyloidosis
Melkersson Rosenthal Syndrome
Fissured (Scrotal) Tongue
Herpetic geometric glossitis may present with a central longitudinal fissure but there are perpendicularly crossing fissures and pain is typical. The patient is usually immune-compromised.
Glossodynia: Glossodynia or Burning mouth syndrome is characterized by pain in the mouth with or with no inflammatory signs and no specific lesions. The etiopathogenesis seems to be complex and in a large number of patients probably involves interactions among local, systemic, and/or psychogenic factors.
Granular Cell Tumor
Multiple Mucosal Neuroma Syndrome
Transient Lingual Papillitis
Eosinophilic Ulcer of the Tongue
Hereditary Hemorrhagic Telangiectasia
Hand, Foot and Mouth Disease
Black Hairy Tongue
Congenital Pigmentation. Darker-skinned patients may have physiologic pigmentation of the gums and tongue.
Various drugs including minocycline and chemotherapy, e.g. capecitabine can induce hyperpigmented macules and patches of the tongue. Minocycline melanosis is shown here.
A golden tongue developed in a chemotherapy patient associated with the organism Ramichloridium schulzeri [AD 1985;121;892].
An acute strawberry tongue may be seen in Kawasaki disease, scarlet fever and toxic shock syndrome. Chronic changes mimicking strawberry tongue may be seen in various types of glossitis or vitamin B12 deficiency. The strawberry tongue appearance derives from the background atrophic glossitis studded with enlarged fungiform papillae. In scarlet fever the white strawberry tongue is seen initially with the red scarlet tone occurring 4-5 days later.
Mucous patches of secondary syphilis.
Oral Hairy Leukoplakia
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