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Lingua plicataK14.5

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

fissured tongue; Furrow tongue; Glossitis dissecans; Hamburger tongue; lingua dissecans; Pleat tongue; scrotal lingua; Scrotal tongue

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DefinitionThis section has been translated automatically.

Common, harmless, usually congenital architectural norm variant (structural anomaly) of the tongue profile. The lingua plicata can be a partial symptom of Melkersson-Rosenthal syndrome and Cowden syndrome.

Occurrence/EpidemiologyThis section has been translated automatically.

Prevalence: about 10-15% of the population (Feil ND et al. 2016); m>w;

EtiopathogenesisThis section has been translated automatically.

A genetic disposition (autosomal dominant inheritance?) is present (see syndromal involvement) There are indications that the same gene as in lingua geographica is affected. Both symptoms often occur together.

Clinical featuresThis section has been translated automatically.

Reinforced, sometimes bizarre, differently deep furrowed (the profile depth is between 0.1-0.3 cm) of the tongue surface with emphasis on the front two thirds. The lateral edges of the tongue can also be affected by the structural anomaly. Approximately 20% of those affected suffer from lingua geographica at the same time.

Differential diagnosisThis section has been translated automatically.

Glossitis interstitialis syphilitica.

TherapyThis section has been translated automatically.

In general there is no need for therapy. Careful oral hygiene is recommended. Informing the patient about the harmlessness of the findings.

LiteratureThis section has been translated automatically.

  1. Feil ND et al (2016) Frequency of fissured tongue (lingua plicata) as a function of age.
  2. Swiss Dent J 126:886-897.
  3. Horvath ON et al (2016) inflammatory oral mucosal diseases. dermatologist 67: 786-792
  4. Jainkittivong A et al (2005) Geographic tongue: clinical characteristics of 188 cases. J Contemp Dent Pract 6: 123-135
  5. Miyashita M et al (1995) Role of recurrent oral candidiasis associated with lingua plicata in the Melkersson-Rosenthal syndrome. Br J Dermatol 132: 311-312
  6. Mumcu G et al (2005) Prevalence and distribution of oral lesions: a cross-sectional study in Turkey. Oral Dis 11: 81-87
  7. Picciani BL et al (2015) Geographic tongue and fissured tongue in 348
  8. patients with psoriasis: correlation with disease severity. ScientificWorldJournal:564326
  9. Shukla D et al (2014) Dentofacial and cranial changes in down syndrome. Osong Public Health Res Perspect 5:339-344
  10. Vieira-Andrade RG et al (2014) Impact of oral mucosal conditions on oral health-related quality of life in preschool children: a hierarchical approach. Int J Paediatr Dent 25:117-126

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Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer