Glossitis K14.00

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 01.07.2022

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Synonym(s)

Glossitis interstitialis superficialis et profunda; glossitis profunda; superficial glossitis

Definition
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Acute or chronic, possibly phlegmonous or gangrenous inflammation of the tongue. A distinction is made between glossitis profunda (involvement of the deeper layers of the tongue, oral mucosa and palate) and glossitis superficialis (inflammation of the mucous membrane of the tongue).

Etiopathogenesis
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Exanthematous infectious diseases or co-infections in non-infectious exanthematous skin and mucosal diseases (e.g., erythema multiforme, drug exanthema), in injuries (dental prosthesis), incorrect bite height.

Deficiency of vitamin B6 or vitamin B12 can also cause glossitis (so-called Hunter glossitis), as can iron deficiency(see Plummer-Vinson syndrome).

Therapy
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I. Acute glossitis profunda: Acute ENT therapy, inpatient admission. Immediate therapy with broad-spectrum antibiotics i.v. to prevent the spread and constriction of the airways, e.g. amoxicillin + clavulanic acid (e.g. Augmentan), dosage: 2.2 g i.v. 3 times/day, Augmentan Filmtbl. 3 times/day 1 Tbl. p.o. As soon as possible, antibiotic treatment after antibiogram. In case of shortness of breath 250-500 mg prednisolone i.v. (e.g. Solu-Decortin H), if necessary intubation or criotomy/tracheotomy. Surgical removal and drainage if necessary, especially in the case of oral phlegmon.

II Acute glossitis superficialis: Irrigation with antiseptic and anti-inflammatory solutions such as 0.1-0.2% chlorhexidine solutions R045, 5% dexpanthenol solution R066, tormentil astringent R255 or ratanhia-myrrh astringent R210. Possibly anesthetic solutions before meals (e.g. Dolo-Dobendan solution, Acoin solution, periodontal ointment).

III Chronic Glossitis: Research for the cause. Collaboration with ENT colleagues and dentist if necessary. Irrigation with antiseptic and anti-inflammatory solutions/gel (e.g. Dequonal, Chlorhexamed, R045, R255 ). If necessary, internal antibiotic therapy with broad-spectrum antibiotics.

Naturopathy
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Acute glossitis superficialis: irrigation with chamomile(e.g. Kamillosan, Kamillan Supra), sage(e.g. Salus Sage-Trp., Salvysat), myrrh (Inspirol-P-forte), witch hazel(Hametum extract) or other plant extracts (e.g. Gingivitol).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 01.07.2022