What if you found a depapillated rhomboid patch on the top surface of the tongue in the midline? Is it dangerous or you do not get worried about it? Should you get a consultation from a dentist?
Let's answer the questions one by one.
This picture is showing a depapillated red, erythematous patch on the dorsum of the tongue having a rhomboidal shape. This condition is known as "Median Rhomboid Glossitis", or it is also known as central papillary atrophy.
Mostly males are affected with an age range of 30-50 years.
What are the Clinical features?
According to European Dental Journal,2-3 cm red patch is found on the posterior midline dorsal side of the tongue with loss of papillae or taste buds there.
What are the Causes?
a) Vit B12 deficiency
b) Niacin deficiency
c) Riboflavin deficiency
d) Iron deficiency
e) Ill-fitting denture
f) burns
g) Syphilis rarely.
Any associated medical condition?
This condition is mostly seen in patients with Diabetes mellitus or Oral candidiasis.
Treatment:
Anti-fungal therapy is indicated for its management.
Topical anti-fungal.
a) Nystatin pastilles
b) Amphotericin B lozenges
Systemic anti-fungal.
a) Fluconazole
b) Itraconazole.
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