Tongue

Median Rhomboid Glossitis

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Median Rhomboid Glossitis, Central Papillary Atrophy of the Tongue, Glossitis Rhomboidea Mediana, Persistent Tuberculum Impar

  • See Also
  1. Oral Candidiasis
  2. Tongue Disorders
  3. Tongue Mass
  4. Glossitis
  • Epidemiology
  1. Incidence: 1%
  • Pathophysiology
  1. Papillary atrophy in the center of the Tongue
  • Causes
  1. Oral Candidiasis (see Thrush)
  • Symptoms
  1. Typically asymptomatic
  2. Burning or itching is possible
  • Signs
  1. Denuded, red smooth, shiny, sharply circumscribed symmetric Plaque
  2. Appears on posterior midline dorsal Tongue
  • Differential Diagnosis
  1. See Glossitis
  2. Geographic Tongue
  3. Atrophic Glossitis
  • Management
  1. Asymptomatic lesions require no treatment
  2. Treat with oral Antifungals for candida
    1. See Thrush
  • References
  1. Cooke (1975) Br J Dermatol 93(4): 399-405 [PubMed]
  2. Straub (2024) Am Fam Physician 110(5): 467-75 [PubMed]