Strawberry tongue

Introduction Strawberry tongue has become a bayberry tongue, which is caused by certain congestive diseases. The tongue nipple is edema, bulging, thickening and redness, and the tongue coating is white like a kind of tongue. According to the symptoms and the onset of the disease, it is divided into white bayberry tongue and red bayberry tongue.

Cause

Scarlet fever is mainly caused by strain B of hemolytic streptococcus group A. The pathogen invades the human body and causes purulent lesions in the pharynx. Toxins in the blood cause toxemia, causing pathological changes in the skin. In severe cases, liver, spleen, kidney, heart muscle, Inflammatory lesions can also occur in lymph nodes. Individual patients can develop allergic lesions in multiple organ tissues throughout the body 2 to 3 weeks after the disease. The pathogen is usually found in the nasopharyngeal area of patients with scarlet fever or carriers. It is directly transmitted by air droplets (speaking, coughing, sneezing), and can also be transmitted indirectly through contaminated toys, daily necessities, etc., occasionally through contaminated milk or Other foods to spread.

Scarlet fever patients are most contagious from the day before the onset to the rash. It is mainly spread by air droplets. Because the virus is not heat-resistant and weak against dryness, the possibility of indirect contact infection is small. The population is generally susceptible, plus there are five serotypes of erythrotoxin, no cross-immunization, so scarlet fever can be re-infected.

an examination

Related inspection

Oral X-ray examination of oral endoscopy, blood routine urine routine

In the early stage of the disease, the nipple can be seen before the rash, red, swollen and hypertrophy, prominent in the white tongue coating, known as "white bayberry tongue." After 3 to 4 days, the white tongue coating fell off, the tongue color was bright red, the tongue nipple was red and swollen, and it resembled bayberry, called "red bayberry tongue", accompanied by submandibular lymph node enlargement.

Differential diagnosis

Short tongue: The tongue is not stretched and can not be stretched, called the "short tongue." The tongue is short, tight, and cannot stretch. Short tongues are often seen with soft tongues.

Spit the tongue: the name of the disease. Tongue out, the tongue is stretched and relaxed, and not exported. Tongue, finger out the micro-outlet, immediately retract the mouth, or the tongue lip up and down and the mouth angle. More common in children, is a heart and spleen heat.

Strong tongue: The tongue plate is hard and straight, and the movement is not working, so that the language is unclear, called the tough tongue. More common in hot into the heart, or for high heat injury, or for wind and phlegm.

Blue-purple tongue: The tongue of the whole tongue is blue, or hot, or cold. The tongue is purple and deep and dry to the hot pole. The warm and sick patients are sent to the camp for the disease and evil, and the blood is divided; the tongue is yellowish purple or cyanotic and the smoothness is the yin cold syndrome. Although cancer patients tend to have a blue-tongue tongue, people with blue-purple tongues are not all suffering from cancer. Other chronic diseases such as coronary heart disease, pulmonary heart disease, chronic liver disease, diabetes, vasculitis, etc. Lupus erythematosus, women with dysmenorrhea, amenorrhea, etc. can also be seen with blue-purple tongue, but the proportion and severity are far less than cancer.

The scrotum tongue: the tongue is larger than normal, the surface has many criss-cross, and the characteristics of the groove with different depths can be diagnosed. Acquired people should consider

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