In the majority of cases, èandida organisms can be cultered from the lesion, and histologic examination reveals hyphae penetrating the superficial epithelium of the tongue, with focal neutrophilic microabscesses. Although in the past MRG was considered a developmental failure of the branchial arches to cover the tuberculum impar, over the past 20 years, evidence of an association with candidiasis has provided a more likely pathogenesis.
Median rhomboid glossitis is an uncommon condition the estimated prevalence in adults is less than 1%, The condition is usually asymptomatic or may cause a slight burning sensation associated with spicy foods. Although it is benign, it can be mistaken for a serious condition by the patient or an inexperienced observer. B. c Median rhomboid glossitis is an enigmatic inflammatory or infectious condition of the dorsum of the tongue. triamcinolone in dental paste applied several times a day when required. Topical corticosteroids may also be helpful for occasional use eg. Discomfort may be treated with a mouth gargle or rinse containing antiseptic and anaesthetic agents. If there are associated medical conditions, treatment of these may improve the appearance of the tongue. Ÿariation with the menstrual cycle suggests hormonal factors Geographic tongue is a benign condition that usually resolves itself without causing any problems for the patient so most people do not require treatment. Èlustering within a family suggests genetic involvement In some patients particular foods seem to be a trigger, especially cheese There are also associations with diabetes, anaemia, atopy (asthma and/or eczema) and stress It occurs more commonly in patients with psoriasis, especially pustular psoriasis The exact cause is unknown but the following factors have been linked with the condition: Lesions are usually confined to the tongue but they sometimes arise elsewhere in the mouth or on the lips. The discomfort may come and go over time and may worsen at certain times of a women's menstrual cycle or during pregnancy. Often there are no symptoms but burning or irritation of the tongue is common, particularly with hot or spicy foods. However, it appears more commonly in females than males and more frequently in adults. Although geographic tongue is benign (harmless) it may persist for months or longer, and often recurs. It is also known as because the appearance is constantly changing. Tongue inflammation Tongue infection Smooth tongue Glossodynia Burning tongue syndrome A.c Geographic tongue is characterised by irregularly shaped red, map-like smooth swollen patches on the tongue. Fingerlike projections on the surface of the tongue (called papillae) are lost, causing the tongue to appear smooth. C Glossitis is a condition in which the tongue is swollen and changes color.
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