TRANSIENT LINGUAL PAPILLITIS
By Gary M. White, MD
Transient lingual papillitis (TLP) is an acute inflammation of the fungiform papillae located on the anterior dorsolateral surface of the tongue.
- TLP is also known as eruptive lingual papillitis.
- Children are most often affected with a mean age of 3.5 years.
- Reported triggers include stress, viral infections, food and beverage hypersensitivity, and atopic disease. In the case of infection, fever, cervical lymphadenopathy and spread to other family members is common.
- TLP is most common in the spring.
The classic sign is inflammatory hypertrophy of the fungiform papillae on the tip and dorsolateral part of the tongue. Angular cheilitis may occur as well. Fever, difficulty in feeding, salivation and cervical adenopathy may be associated when infection is the trigger. Other family members are frequently affected.
The condition remits spontaneously in 1-2 weeks. Maintaining oral hygiene is recommended.
Papules and excessive salivation for 3 days in a child. Indian Pediatr. 2014 Mar;51(3):243
J Clin Exp Dent. 2017 Jan 1;9(1):e157-e162
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