TONGUE

By Gary M. White, MD

Annular

Geographic Tongue
Geographic Tongue

Atrophic Midline Patch

Median Rhomboid Glossitis
Median Rhomboid Glossitis

Atrophy

Atrophic Glossitis

Enlarged/Macroglossia

Angioedema

Primary Systemic Amyloidosis

Fissures

Melkersson Rosenthal Syndrome

Fissured (Scrotal) Tongue
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.

Nodule

Lingual Thyroid

Pain

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.

Papule(s)

Fibroma
Fibroma

Granular Cell Tumor

Multiple Mucosal Neuroma Syndrome

Transient Lingual Papillitis

Ulcer

Syphilis

Vascular

Hereditary Hemorrhagic Telangiectasia
Hereditary Hemorrhagic Telangiectasia

Vesicles

Chickenpox
Chickenpox on the Tongue

Hand, Foot and Mouth Disease
Hand Foot, and Mouth Disease

Herpes Zoster
Herpes Zoster of the Tongue

Color

Black

Black Hairy Tongue
Black Hairy Tongue

Congenital Pigmentation. Darker-skinned patients may have physiologic pigmentation of the gums and tongue.
Congenital Pigmentation

Gold

A golden tongue developed in a chemotherapy patient associated with the organism Ramichloridium schulzeri [AD 1985;121;892].

Magenta

Riboflavin Deficiency

Red

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.

White

Candida
Candida

Lichen Planus
lichen planus of the tongue

Mucous patches of secondary syphilis.
Secondary Syphilis

Oral Hairy Leukoplakia
Oral Hairy Leukoplakia

RegionalDerm

Homepage | FAQs | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.