Lingua plicata K14.5

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

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

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

Literature
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  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
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  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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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