Oral cavity
Inflammatory (noninfectious) lesions
Glossitis

Author: Charu Thakral, M.D. (see Authors page)

Revised: 17 April 2018, last major update February 2013

Copyright: (c) 2002-2018, PathologyOutlines.com, Inc.

PubMed Search: Glossitis[TI] oral cavity

Cite this page: Thakral, C. Glossitis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/oralcavityglossitis.html. Accessed October 19th, 2018.
Definition / general
  • Inflammation or beefy red tongue associated with deficiency states
  • Due to atrophy of tongue papillae, thinning of mucosa and exposure of underlying vasculature
Terminology
  • Also called central papillary atrophy, posterior lingual papillary atrophy
Epidemiology
  • 1% population, usually males, ages 30 - 50 years
Clinical features
  • Usually a clinical diagnosis
  • Causes: pernicious anemia (vitamin B12 deficiency), deficiency of riboflavin, niacin or pyridoxine; sprue, iron deficiency anemia; also associated with jagged teeth, ill fitting dentures, rarely syphilis, burns and ingestion of corrosive chemicals
  • Susceptible to recurring or chronic atrophic candidiasis
  • Plummer-Vinson / Paterson-Kelly syndrome: iron deficiency anemia, glossitis and esophageal webs
  • Median rhomboid glossitis: red patch, usually 2 - 3 cm long, in posterior midline dorsal tongue just anterior to V shaped grouping of circumvallate papillae with loss of papillae or taste buds; associated with candidiasis and diabetes mellitus (Eur J Dent 2011;5:367)
Treatment
  • Usually none
  • Antifungal therapy to reduce clinical erythema of candidiasis
Clinical images

Images hosted on other servers:

Median rhomboid glossitis

Diabetic patient

Microscopic (histologic) description
  • Atrophic stratified squamous epithelium overlying moderately fibrosed stroma with chronic inflammation
  • Also chronic candida infection with associated pseudoepitheliomatous hyperplasia
Microscopic (histologic) images

Images hosted on other servers:

Median rhomboid glossitis

Candida