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Glossitis rhombica medianaK14.2

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Glossitis mediana rhombica; Lingua Brocq-Pautrier; Median rhomboid Glossitis; Rhomboid glossitis

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HistoryThis section has been translated automatically.

Brocq and Pautrier, 1914

DefinitionThis section has been translated automatically.

Harmless developmental anomaly of the tongue with a circumscribed papilla-free zone in the middle of the back of the tongue.

Occurrence/EpidemiologyThis section has been translated automatically.

Common symptom that occurs in about 1.5% of the population. In diabetic patients, prevalences of about 6% are detected.

EtiopathogenesisThis section has been translated automatically.

Harmless developmental anomaly, which is interpreted as a deficient regression of the tubercle impar; but also angiomatous inhibition malformation. Superimposed infections (e.g. Candida infections) are observed or are triggering.

ManifestationThis section has been translated automatically.

After puberty, usually in the 2nd or 3rd decade of life. Rarely in children (more often in children with immune deficiencies, e.g. HIV infection). m:w=3:1.


Clinical featuresThis section has been translated automatically.

Usually asymptomatic, oval or rhomboid, also striped, axisymmetric, deep red, sharply defined mucosal area with a papilla-free surface in the middle third of the back of the tongue (always in front of the sulcus terminalis), centrally located. The surface of the lesion can be smoothly atrophic, but also sunken or raised like a cobblestone. Possible secondary changes: Small leukoplakic dislocations. Often colonization by Candia albicans.

HistologyThis section has been translated automatically.

Epithelial hyperplasia, papilledema atrophy.

Differential diagnosisThis section has been translated automatically.

Non-specific chronic inflammation; drug reaction, fixed; tongue cancer; candidosis.

TherapyThis section has been translated automatically.

No therapy required.

LiteratureThis section has been translated automatically.

  1. Bae GY et al (2003) A case of median rhomboid glossitis. J Dermatol 30: 423-425
  2. Brocq L, Pautrier LM (1914) Glossite losangique médiane de la face dorsale de la langue. Ann dermatol syphilogr (Paris) 5: 1-18
  3. Ghabanchi J et al (2011) The prevalence of median rhomboid glossitis in diabetic patients: a case-control study. Iran Red Crescent Med J 13:503-506
  4. Martin HE, Howe ME (1938) Glossitis rhombica mediana. Ann Surge 107: 39-49
  5. Okunseri C et al (2003) Prevalence of oral lesions and percent CD4+ T-lymphocytes in HIV-infected children on antiretroviral therapy. AIDS Patient Care STDS 17: 5-11
  6. Pili FM et al (2014) Application of the novel method in the diagnosis and treatment of median rhomboid glossitis Candida-associated. Eur J Dent 8:129-131
  7. Ullmann W et al (1981) Glossitis rhombica mediana. dermatologist 32: 571-574
  8. Ullmann W et al (1981) Glossitis rhombica mediana. A study of 4422 dermatologic patients.
    Dermatologist 32:571-574.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer

Editor: Florian Erwig