9/5/2015

FissuredTonguePictures,Causes,FeaturesandCure

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TableofContents
WhatisFissuredTongue
SynonymsofFissuredTongue
ClinicalFeaturesofFissuredTongue
FissuredTonguePictures
CausesofFissuredTongue
FissuredTongueDiagnosis
ConditionsassociatedwithFissuredTongue
TreatmentandCure

WhatisFissuredTongue
Fissuredtonguecanbedefinedastonguewithcracksandgrooves.Medically,fissuredtongueisdescribedasmultiple
smallfurrowsorgroovesonthedorsalsurfaceofthetongue.Thegroovesorfissurescouldbedeeporshallow,oneor
moreandmayoccuronanysideofthetongue.Nevertheless,mostofthefissuresoccuronthemiddle1/3rdoftheorgan.
Theailmentoffissuredtongueaffectsapproximately5%oftheUSpopulation.Theconditionislesscommoninchildren
butaswegrow,thechancesofhavingthisincreases.Menareaffectedabitmoreascomparedtotheircounterpart,the
women.

SynonymsofFissuredTongue
http://emedicalhub.com/fissuredtongue/

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FissuredTonguePictures,Causes,FeaturesandCure

Fissuredtongueisalsoknownas
Scrotaltongue
Plicatedtongue
Linguaplicata
Furrowedtongue

ClinicalFeaturesofFissuredTongue
Belowmentionedarethecharacteristicsoffissuredtongue.
Thefissuresorgroovesaffectonlytongueandnootherstructureintheoralcavity
Painandburningsensationinthetongue
Cracks,groovesorcleftshappenonthetopandsidesofthetongue
Thegroovesmaybeshallowordeepasmuchas6mm
Thefissuresmayconnectwitheachothermakingthetongueappearinglikedividedinlobesorsections
Rednessofthetongue
Difficultyineatingandswallowing
Severeburningwhenfoodorwaterputonit

FissuredTonguePictures

Picture:FissuredTonguephoto
Imagesource:wikipedia.org

Picture:FissuredTongue(rightsideoftongue)
Imagesource:wikipedia.org

http://emedicalhub.com/fissuredtongue/

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Picture:FissuredTongue(cracksandgroves)
Imagesource:dermnetnz.org

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Picture:FissuredTongue
Imagesource:wikipedia.org

CausesofFissuredTongue
Thoughtheperfectetiologyoffissuredtongueisnotknown,herearesomepredictedcausativefactorsthatmaygiverise
tofissuredtongue:
http://emedicalhub.com/fissuredtongue/

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Polygenicmodeofinheritanceislikelytocausefissuredtongue
MelkerssonRosenthalsyndrome
Injurytooralcavityortongue(maybedirectinjuryorthroughteethgrinding,tonguebiting)
Severealcoholconsumption
Severetobaccochewing
Eatinghardfood(suchasbetelnut)thatmayinjuretongue
Downsyndrome
Asinassociationwithbenignmigratoryglossitis(geographictongue)
Asinassociationwithgranulomatousdisease
Allergicreactionororalthrush
Injurytothetonguewhilebrushingtheteethorgums
Unusualdrynessofmouth(asinSjogrensSyndrome)
Somedrugreaction
Overbodyheat

FissuredTongueDiagnosis
Thediagnoseisdonemainlybasedonoralexamination.Thefissuredorgroovedtongueiseasytoidentify.Thecondition
isfurtherconfirmedasadoctorobservesthesignsandsymptomsandasksthehistorytothepatient.Insomerarecase,
thehealthcareprovidermayaskforthebiopsytakingtonguestissuetocheckthemalignancy.

ConditionsassociatedwithFissuredTongue
Nearly25%oftheUSpopulationisaffectedbythisailment.Thoughsurecausefactorsforfissuredtongueareunknown
therearesomeconditionsassociatedwiththisailment.Theyarementionedbelow
Downssyndrome:Almost8outof10childrenwithchromosomaldisorder(trisomy)havefissuredtongue.Down
syndromeisoneofthecommonestconditionassociatedwithtongueproblems.
Geographictongue:ThisconditionisalsoreferredtoasBMG(BenignMigratoryGlossitis).Althoughthereareno
symptomsotherthanburningandpaininthetonguewhileeatingspicyandhotfoods.
MelkerssonRosenthalSyndrome:Quiterareconditionthough,MelkerssonRosenthalsyndromeisanothercondition
associatedwithfissuredtongue.Nevertheless,thismayalsoshowthesymptomsofswellinginlipsandfaceandBells
Palsy(paralysisofthefacepartiallyorcompletely)

TreatmentandCure
Thetreatmentoffissuredtonguedependsonthecausativefactors.Ifitisduetoinfectionorinjury,healingisdoneby
prescribingantibioticsandtopicalsoothingcreams.Keepingoralhygieneismusttocurefissuredtongue.Removalof
debrisfromthefissuresandgroovesismusttopreventfurtherworseningofthecondition.
Hydrationofthetongueisimportanttocurefissuredtongue.Plainwaterdrinkingisthebestremedyforfissuredtongue.
Aboutothertreatmentsforthisailment,itisobservedthatwhilesomepreferspearmint,naturalhealersadvisekeeping
bakingsodagarglingtohealthewoundsfaster.Cleaningthetonguewithsoftbrushorgentlyswipingoftonguecleaneris
advised.
References:
1. http://emedicine.medscape.com/article/1078536followup#a2651
2. http://www.webmd.com/oralhealth/guide/fissuredtongue
3. James,WilliamD.Berger,TimothyG.etal.(2006).AndrewsDiseasesoftheSkin:ClinicalDermatology.
SaundersElsevier.
4. http://en.wikipedia.org/wiki/Fissured_tongue
5. Oralandmaxillofacialmedicine:thebasisofdiagnosisandtreatment(2ndedition)

http://emedicalhub.com/fissuredtongue/

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