Glossitis möller-hunter K14.01

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Arndt sign; Glossitis Huntersche; Hunter's Glossitis; Möller-Hunter Glossitis

History
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Möller, 1851; Hunter, 1909

Definition
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Atrophic inflammation of the mucous membrane of the tongue with loss of the papillae.

Etiopathogenesis
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Vitamin B12 deficiency ( Beri-Beri), folic acid deficiency (see also avitaminosis), liver diseases.

Clinical features
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Burning of the tongue; spices and hard food in particular are poorly tolerated. An atrophic, bright red, mirror-smooth tongue surface (lack of coating on the tongue) with reduction of the papillae is conspicuous. The fungiform papillae of the tongue often appear swollen, blister-like. Appearance of lightning-like, white anemia areas (Arndt's sign) when the tongue is stuck out.

Laboratory
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Hyperchromic macrocytic anaemia; serum vitamin B12 decreased; serum iron decreased.

Parietal cell antibodies and antibodies against "intrinsic factor" are detectable in some patients.

Histology
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Atrophy of the lingual papillae.

Therapy
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Treatment of the underlying disease. Mouth rinses with camomile extracts (e.g. Kamillosan solution), avoid spicy foods, drinks and nicotine.

Disclaimer

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

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Last updated on: 29.10.2020