Tongue papilla disappeared

Introduction The silky nipple of the tongue is atrophied, and the mushroom-shaped nipple exists and appears prominent. In severe cases, the bacterial nipple also shrinks and disappears, so that the tongue nipple disappears completely, the tongue and mucous epithelium becomes thinner, the color is rosy, the surface is smooth, and there is no moss, also known as bald tongue. The patient felt a burning pain and was sensitive to irritating food.

Cause

It is caused by vitamin deficiency, long-term use of food, drugs, antibiotics, and changes in the oral environment such as smoking.

an examination

Related inspection

Otolaryngology CT examination of oral endoscope

(1) Medical history:

1. Learn about the history and symptoms of anemia.

2. Understand the history of B vitamin deficiency, with or without dry mouth and joint pain.

(2) Inspection:

1. The silky nipple of the tongue is atrophied, the bacteriological nipple also disappears, the back of the tongue is smooth as a mirror, and the red sputum has no tongue coating, which is generally accompanied by burning pain, which is more obvious when eating.

2. People with anemia, often accompanied by anemia signs and general malaise.

3. B vitamin deficiency, often accompanied by angular keratitis.

4. Sjogren's syndrome, manifested as a significant reduction in saliva, sticky or foamy, tear secretion can also be reduced, sometimes the parotid gland and lacrimal gland enlargement, joint pain. Laboratory tests showed an increase in erythrocyte sedimentation rate, a positive rheumatoid factor, and an increase in immunoglobulin. A lip gland biopsy can confirm the diagnosis.

Diagnosis is easy to make based on clinical manifestations.

Differential diagnosis

Need to be distinguished from the following symptoms:

Tongue papillary hyperplasia: chronic lingual tonsilitis or tongue tonsil hypertrophy, mostly from acute tongue tonsillitis recurrent to chronic. It is associated with chronic inflammation of the upper respiratory tract, excessive alcohol and tobacco, and irritating foods and harmful gas. Often associated with chronic tonsillitis, after tonsilectomy, the tongue tonsils may also undergo compensatory hypertrophy. The disease occurs mostly in adults, and children are rare.

Glossitis: inflammation of the tongue with redness, heat and pain.

The tongue is large and has a groove on the surface: the fisured tongue is also known as the cracked tongue. It is mainly characterized by the longitudinal and transverse grooves of the back of the tongue. The depth and length of the groove are different, and can gradually increase with age. . Often coexist with the map tongue.

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