Abstract
Median rhomboid glossitis (MRG) is defined as the central papillary atrophy of the tongue and it affects 0.25–5.42 % of the population. It consists of a well-defined smooth, reddish, or pinkish area on the dorsum of the tongue located in the midline anterior to the circumvallate papillae. Most of these lesions are asymptomatic, although some patients may complain of persistent pain, irritation, or pruritus. Despite the relative frequency of MRG, little is known about its etiology. There are several predisposing factors associated with MRG such as smoking, denture wearing, diabetes mellitus, as well as candidal infections. If MRG is asymptomatic, no treatment is necessary; if the lesion is painful, a topical antifungal agent may be indicated.
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References
Avcu N, Kanli A (2003) The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis 9:188–195
Bánóczy J, Rigó O, Albrecht M (1993) Prevalence study of tongue lesions in a Hungarian population. Community Dent Oral Epidemiol 21:224–226
Baughman R (1971) Median rhomboid glossitis: a developmental anomaly? Oral Surg Oral Med Oral Pathol 31(1):56–65
Cooke BE (1975) Median rhomboid glossitis. Candidiasis and not a developmental anomaly. Br J Dermatol 93(4):399–405
Delemarre JFM, van der Waal I (1973) Clinical and histopathologic aspects of median rhomboid glossitis. Int J Oral Surg 2:203–208
Espinoza I, Rojas R, Aranda W, Gamonal J (2003) Prevalence of oral mucosal lesions in elderly people in Santiago, Chile. J Oral Pathol Med 32:571–575
Goregen M, Miloglu O, Buyukkurt MC, Caglayan F, Aktas AE (2011) Median rhomboid glossitis: a clinical and microbiological study. Eur J Dent 5(4):367–372
Lago-Méndez L, Blanco-Carrión A, Diniz-Freitas M, Gándara-Vila P, García-García A, Gándara-Rey JM (2005) Rhomboid glossitis in atypical location: case report and differential diagnosis. Med Oral Patol Oral Cir Bucal 10:123–127
Manfredi M, Polonelli L, Aguirre-Urizar J, Carrozzo M, McCullough M (2013) Urban legends series: oral candidosis. Oral Dis 19(3):245–261
McNally MA, Langlais RP (1996) Conditions peculiar to the tongue. Dermatol Clin 14:257–262
Samaranayake LP, Keung Leung W, Jin L (2009) Oral mucosal fungal infections. Periodontology 2000 49:39–59
Scully C, El-Kabir M, Samaranayake LP (1994) Candida and oral candidosis: a review. Crit Rev Oral Biol Med 5(2):125–157
Soysa NS, Ellepola AN (2005) The impact of cigarette/tobacco smoking on oral candidiasis: an overview. Oral Dis 11:268–273
Van der Wal N, van der Kwast WA, van der Waal I (1986) Median rhomboid glossitis: a follow-up study of 16 patients. J Oral Med 41:117–120
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Alanis, L.R.A. (2015). Median Rhomboid Glossitis. In: Ribeiro Rosa, E. (eds) Oral Candidosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47194-4_9
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DOI: https://doi.org/10.1007/978-3-662-47194-4_9
Publisher Name: Springer, Berlin, Heidelberg
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