Tongue large and grooved

Introduction The fissured tongue, also known as the cracked tongue, 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. The etiology of this disease is congenital and acquired. Congenital is autosomal dominant, and acquired edema, congestion, muscle atrophy and hyperproliferation of epidermis can cause the disease: vitamin B2 Lack of niacin deficiency and psoriasis can present this disease.

Cause

(1) Causes of the disease

The disease has congenital and acquired two kinds of congenital, autosomal dominant inheritance, acquired edema, congestion, muscle atrophy and hyperproliferation of epidermis can cause the disease: such as vitamin B2 deficiency, This disease can occur in niacin deficiency and psoriasis.

(two) pathogenesis

The pathogenesis of congenital wrinkles is related to autosomal dominant inheritance. Acquired for other diseases caused by tongue edema, congestion, muscle atrophy and excessive proliferation of epidermal processes.

an examination

Related inspection

Oral oral endoscopic oral X-ray examination

1. The tongue is larger than normal, and there are many criss-crossings on the surface, and the grooves are different in depth. Generally, there are deep longitudinal grooves in the middle of the tongue.

2. The function, color and softness of the tongue are not abnormal.

3. There are no self-conscious symptoms, wrinkles are often prone to food debris, easy to cause secondary infections, redness, discomfort or tingling, stench, and even superficial ulcers.

According to the clinical manifestations, the tongue is larger than normal, and there are many crisscross surfaces on the surface. The characteristics of the grooves with different depths can be diagnosed. Acquired persons should consider the possibility of vitamin B2 deficiency, niacin deficiency, and acral dermatitis psoriasis.

Differential diagnosis

It should be noted that it is distinguished from the deep crack of the tongue: there is obvious groove crack on the tongue surface, and there is no tongue coating in the groove.

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