giant tongue
Introduction
Introduction to the giant tongue Macroglossia refers to the swelling of the tongue caused by hyperplasia and edema of the tongue. The giant tongue can be caused by various causes: hemangiomas and lymphangioma, neurofibroma, hypothyroidism, angioedema, Amyloidosis and other, the diagnosis is not difficult, the treatment is mainly for the cause. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: multiple myeloma
Cause
Giant tongue cause
Causes
The giant tongue can be caused by a variety of different reasons. From the disease, it is divided into:
Genetic factors (30%):
It may be related to heredity. Data from 30% to 60% of patients have a family history. Its pathogenesis is related to repeated mechanical stimulation (such as poor prosthesis), trauma, drugs and so on.
Disease factors (32%):
Associated with long-term, chronic infections with severe tissue damage (eg tuberculosis, connective tissue disease, malignant tumors, etc.).
Pathogenesis
The tongue is enlarged by tongue tissue hyperplasia and edema.
Prevention
Giant tongue prevention
The cause cannot be removed. It is more difficult to recover from the giant tongue.
Complication
Giant tongue complications Complications Multiple myeloma
About 34% to 40% of patients with primary amyloidosis have giant tongues, and patients with multiple myeloma can also have amyloid hypertonic tongue.
Symptom
Giant tongue symptoms common symptoms hypothyroidism giant tongue tongue tongue heart failure nodule mucinous edema angioedema hypertensive disease
The volume of the giant tongue is increased. The giant tongue has a relative giant tongue and a true giant tongue. The former has a relatively enlarged tongue due to poor development of the mandible, and the latter is caused by tissue proliferation of the tongue. The giant tongue can be caused by a variety of different reasons. Common giant tongues have the following categories:
Primary macrog l ossia: Normal except for the increase in tongue volume.
Hemangiomatous and lymphangiomaous macroglossia: often with asymmetric asymmetry, can see dilated blood vessels and cystic lymphatic vessels, deep hemangioma and lymphangioma are sometimes difficult to diagnose The patient may have paroxysmal swelling and pain in the tongue.
Neurofibromatous macroglossia: The asymmetry of the tongue is increased, and localized bulges or nodules can be seen. The texture is soft and generally occurs in adults, often accompanied by other signs of somatic neurofibroma.
Hypothroid macroglossia: The tongue is evenly enlarged, the surface structure is normal, accompanied by clinical manifestations of stagnation and mucinous edema.
Edema giant glaucoma (ledematous macroglossia): often associated with angioedema, sometimes seen in the superior vena cava obstruction, heart failure, kidney disease.
Amyloid macroglossia: About 34% to 40% of patients with primary amyloidosis have giant tongues, and patients with multiple myeloma can also have amyloid hypertonic tongue.
Examine
Giant tongue inspection
By visual inspection, diagnosis can be made according to symptoms. Laboratory examination showed a decrease in serum albumin, an increase in globulin, and a coagulating protein in the urine.
Diagnosis
Giant tongue diagnosis
diagnosis
According to the clinical manifestations, the characteristics of the tongue swelling can be diagnosed.
Identification
1. The primary giant tongue is caused by abnormal development, the tongue is enlarged, and the other is normal.
2, avascular lymphatic giant tongue asymmetry increased, visible dilated blood vessels, lymphatic vessels.
3, neurofibromatous giant tongue tongue asymmetry increased, see the nodular nodule nodules, soft, accompanied by other manifestations of neurofibroma.
4, thyroid function is low, the symmetry of the giant tongue is increased, the activity is not flexible, there is a small stagnation or mucus edema before sputum.
5, edematous giant tongue is often caused by angioedema, can also be seen in the superior vena cava obstruction, heart failure and so on.
6, amyloid metabolized giant tongue about 34% to 40% of amyloidosis patients have giant tongue.
