1/10. Painful tongue lesions associated with a food allergy.Transient lingual papillitis is an inflammatory disease of the tongue that can be very symptomatic in children. This case report describes the clinical features of transient lingual papillitis in a 7-year-old boy that was associated with a food allergy. The potential causes of this condition are reviewed and a differential diagnosis is provided.- - - - - - - - - - ranking = 1keywords = papillitis (Clic here for more details about this article) |
2/10. Transient lingual papillitis: a papulokeratotic variant.Transient lingual papillitis is an inflammatory disease involving the fungiform papillae of the tongue and is typically localized, accompanied by pain or tenderness, and of short duration. The unusual clinical and pathologic findings regarding a condition we identify as a recurring papulokeratotic variant of transient lingual papillitis are described. In the child whose case we present, this condition was nonpainful and florid in distribution. The etiology, clinical features, and histopathology of this heretofore-undescribed variant are discussed and compared with the findings in previously reported cases of transient lingual papillitis.- - - - - - - - - - ranking = 3.5004720985576keywords = papillitis, papilla (Clic here for more details about this article) |
3/10. Case report: the importance of oral manifestations in diagnosing iron deficiency in childhood.AIM: The aim of this article is to report a case of iron deficiency diagnosed in a child after routine oral examination. CASE REPORT: A 5-year-old male child of African descent was brought to the paediatric dental clinic of a public university in Rio de Janeiro, brazil. His mother's main complaint was her child's decayed teeth and sensitivity in the tongue every time he ate spicy or hot food. Anamnesis revealed chronic respiratory problems due to allergy, two previous episodes of anaemia and hospitalization about 15 months before the dental visit because of severe primary herpetic gingivostomatitis. Soft tissue examination revealed his tongue had various patches of atrophic mucosa characterizing absence of papillae in these areas. The child's dietary assessment indicated that he never ate meat or vegetables. Haematological investigation showed that the child probably had an iron deficiency, although the full blood count was not totally compatible with anaemia. A rapid initial recovery was quite noticeable after the beginning of oral therapy with ferrous sulphate, as remission of tongue sensitivity as well as papillae neoformation were observed.- - - - - - - - - - ranking = 0.00094419711528581keywords = papilla (Clic here for more details about this article) |
4/10. Rhomboid glossitis in atypical location: case report and differential diagnosis.Median rhomboid glossitis (MRG) is an uncommon benign abnormality of the tongue, most frequently affecting men. It is typically located around the midline of the dorsum of the tongue, anterior to the lingual "V", appearing as a reddish, rhomboid area, depapillated, flat maculate or mamillated and raised by 2 - 5 mm. This paper reports a case of rhomboid glossitis in a 61-year-old man who consulted for a painless raised lesion on the dorsum of the tongue, in left paramedial (not medial) location. Histopathological findings were compatible with rhomboid glossitis. Other diagnoses considered but ruled out on the basis of the clinical and histopathological findings were haemangioma, pyogenic granuloma, amyloidosis, granular cell tumour, and squamous cell carcinoma. This case confirms that rhomboid glossitis may occur in paramedial locations.- - - - - - - - - - ranking = 0.00047209855764291keywords = papilla (Clic here for more details about this article) |
5/10. life-threatening facial edema due to pine caterpillar mimicking an allergic event.BACKGROUND: Approximately 150 species of lepidoptera have been described as causing damage to human skin. One of these species is the pine processionary caterpillar, which is responsible for dermatitis, contact urticaria, ocular lesions and rarely respiratory signs and anaphylactic reactions through IgE-mediated or non-IgE-mediated mechanisms. We report a pediatric case of severe orofacial edema mimicking an allergic reaction after ingestion of a pine processionary caterpillar; urgent airway intubation was required. CASE REPORT: A 15-month-old boy was sleeping under a pine tree when his mother noted a pine caterpillar on his tongue. Because of rapidly developing facial swelling and respiratory distress, the infant was first taken to a local hospital where he received intravenous dexamethasone and pheniramine hydrogen maleate. On arrival at our emergency department, diffuse swelling and edema involving the tongue, perioral, nasal and perimandibular regions, and neck was noted, requiring urgent orotracheal intubation. There were no findings of anaphylaxis. The results of skin prick tests and specific IgE to common aero- and food allergens were negative. A skin prick test with extract of pine caterpillar was also negative. prednisolone and pheniramine hydrogen maleate were administered for 7 days. The child gradually improved and was successfully extubated 4 days later. CONCLUSION: Although oral contact with a pine processionary caterpillar in the form of ingestion is rare, it may cause significant local reaction and airway compromise mimicking an allergic event. In this situation, early intubation to maintain airway patency is a life-saving measure.- - - - - - - - - - ranking = 3.0374980627683E-5keywords = edema (Clic here for more details about this article) |
6/10. A form of stomatitis induced by excessive peppermint consumption.This paper reports on a form of stomatitis and glossitis associated with extremely prominent circumvalate papillae in two patients who consumed excessive amounts of mint-flavoured sweets.- - - - - - - - - - ranking = 0.00047209855764291keywords = papilla (Clic here for more details about this article) |
7/10. Granulomatous glossitis as an unusual manifestation of melkersson-rosenthal syndrome.The case of a 59-year-old man with granulomatous glossitis is presented. The patient complained of increasing swelling of his tongue for years and a recent onset of perioral edema. Because of sarcoid-like granulomas found in a first lingual biopsy specimen, the disease was initially misdiagnosed as a localized form of sarcoidosis. A second biopsy specimen from the tongue revealed lymphonodular-plasmocytic granuloma-like infiltrates, which, in connection with the labial swelling, led to the diagnosis of Schuermann's glossitis granulomatosa as a peculiar manifestation of melkersson-rosenthal syndrome. The surface of the tongue showed deep furrows characteristic of lingua plicata. However, no history or signs of facial or trigeminal nerve paralysis were present; thus the patient did not show the complete triad of symptoms typical of melkersson-rosenthal syndrome. After treatment with clofazimine the perioral and lingual swelling disappeared within two weeks. Recurrences have been suppressed with a reduced maintenance dosage of this agent.- - - - - - - - - - ranking = 5.0624967712805E-6keywords = edema (Clic here for more details about this article) |
8/10. Apparent massive tongue swelling. A complication of orotracheal intubation on the intensive care Unit.The trachea of an 81-year-old woman was intubated with an orotracheal tube for emergency abdominal surgery and the tube was left in place for postoperative management on the intensive care Unit. After 36 h, she developed apparent massive tongue swelling. On closer examination, a normal sized tongue was found to be displayed by oedema of the floor of the mouth and submandibular space, secondary to purulent sialadenitis from right submandibular duct obstruction by the tracheal tube.- - - - - - - - - - ranking = 5.0624967712805E-6keywords = edema (Clic here for more details about this article) |
9/10. Transient lingual papillitis.We describe a relatively common yet poorly documented condition of the anterior dorsal tongue characterized by one or more moderately painful, transient, red to yellow papules. This study surveyed a number of people on their experiences with these lesions. Although some of the respondants had not had lesions of this sort, most were at least aware of their occurrence in other persons. A summary of respondents' experiences including symptoms and demographics is included. We suggest the term "transient lingual papillitis" to describe this process.- - - - - - - - - - ranking = 2.5keywords = papillitis (Clic here for more details about this article) |
10/10. Eruptive familial lingual papillitis: a new entity?In order to describe the characteristic signs and course of a possibly new clinical entity, we undertook a clinical study of a series consisting of four families (5 children and 10 relatives) with a distinctive eruption of the tongue. The disease always started in a child, usually an infant (mean age 15.2 months), and then spread to one or several other members of the family. It had an abrupt onset and was characterized by difficulties in feeding, increased salivation, and irritability. Inflamed, hypertrophic fungiform papillae were seen on the tip and the dorsolateral part of the tongue, some having a pseudopustular appearance. There were no vesicles, erosions, signs of geographic tongue, or oral thrush; the central part of the tongue, the lips, gingivae, palate, and throat were normal. The acute phase lasted 6 to 7 days and was self-limited. A few days later, one or several relatives experienced an intense burning sensation on the tongue, with an increase and exacerbation caused by food intake, with the identical features of inflamed papillae. The duration of the stomatitis was usually 1 week for the infants, but longer for some adults. The similarity of these cases suggests the existence of a new clinical entity possibly of viral origin. We propose naming this eruption "eruptive familial lingual papillitis."- - - - - - - - - - ranking = 2.5009441971153keywords = papillitis, papilla (Clic here for more details about this article) |
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