fissured tongue
Introduction
Introduction to the cracked tongue The plicatedtongue is also called the scrotaltongue, the fissuredtongue, and the furrowedtongue. Often combined with the map tongue, susceptible to infectious angular cheilitis, and appear in Down syndrome and Melkersoon Rosenthal syndrome. We observed that this disease can also occur in acral dermatitis, red pityriasis, and palmoplantar pustulosis. The disease is similar to the cracked tongue of Chinese medicine, commonly known as the cracked tongue surface, mostly due to double yin loss, spleen deficiency. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: oral ulcers
Cause
Cracked tongue
The disease is congenital and acquired, and congenital is autosomal dominant. Acquired people can cause tongue edema, congestion, muscle atrophy and excessive proliferation of epidermal processes can cause this disease: such as vitamin B2 deficiency, niacin deficiency, psoriasis can appear this disease.
Vitamin B2 deficiency (30%):
Vitamin B2 (chemical formula: C17H20N4O6, formula 376.37), also known as riboflavin, is slightly soluble in water and is stable in heating in neutral or acidic solutions. It is a component of the flavin-based prosthetic group in the body (the yellow enzyme plays a hydrogen-promoting role in biological redox). When it is lacking, it affects the biological oxidation of the body and causes metabolic disorder.
Niacin deficiency (30%):
Niacin is also known as niacin, an anti-skin disease factor. It is one of the 13 kinds of vitamins necessary for the human body. It is a water-soluble vitamin and belongs to the vitamin B family. Niacin is converted into nicotinamide in human body. Niacinamide is a component of coenzyme I and coenzyme II, which participates in lipid metabolism in the body, oxidation process of tissue respiration and anaerobic decomposition of carbohydrates.
Genetic (30%):
The congenital person of this disease is autosomal dominant.
Prevention
Cracked tongue prevention
Pay attention to oral hygiene. Prevent secondary infections. Eat small meals and eat half-liquid food. After each meal, rinse with salt water, normal saline or drug mouthwash to prevent food residue from aggravating secondary infection. Regular daily life should be regular, adhere to physical exercise, and keep the stool smooth. Pay attention to avoid oral hygiene, avoid cold, fatigue, moderate exercise, improve the body's immunity, so as not to cause secondary infection.
Complication
Cleft tongue complication Complications, oral ulcers
Very few people may have deeper cracks in the back of the tongue, and it is easy to hide food debris and bacteria, causing inflammation, often mild irritation. At this time, the tongue is enlarged, the back of the tongue is deep and cracked, and it is easy to hide food. Residues and bacteria are retained, causing inflammation, often with mild irritation. At this time, the tongue can be enlarged by the edges of the tongue on both sides. Wrinkles are often prone to food debris, which may cause secondary infections, redness, discomfort or tingling, malodor, and even superficial ulcers.
Symptom
Symptoms of the sulcus tongue common symptoms The tongue is large and the surface has a sulcus lip thick tongue large secondary infection short contraction tongue niacin lack groove crack widening
1. The tongue is larger than normal, and there are many criss-crossings on the surface, and the grooves are different in depth. Generally, there are deep longitudinal grooves in the middle of the tongue.
2. The function of the tongue, color and softness are not abnormal.
3. No symptoms, wrinkles are often prone to food debris, easy to cause secondary infections, redness, discomfort or tingling, stench, and even superficial ulcers.
Examine
Cracked tongue inspection
Oral endoscopy: The physician can further discover the patient's oral lesions with the help of clear and intuitive images, and take various treatment measures in time. Abnormal results: abnormal signs caused by diseases, such as redness and swelling of the oral mucosa, blisters, ulcers or spots, need to check the crowd: abnormal color, pain, ulceration, smell, etc.
Diagnosis
Diagnostic identification of cracked tongue
diagnosis
According to the clinical manifestations, the tongue is larger than normal, and there are many criss-crossing surfaces on the surface. The characteristics of the grooves with different depths can be diagnosed. The acquired ones should consider vitamin B2 deficiency, niacin deficiency, and acral dermatitis. The possibility of illness.
Differential diagnosis
Salivary gland cysts: The generalized mucus cysts include the mucus cysts of the Xiaochuan flow gland and the sublingual cysts, which are the more common salivary adenoma-like lesions. Parotid cysts are divided into two categories: retention and congenital. The former is rare. Benign hypertrophy of salivary glands, also known as salivary gland enlargement or salivary degeneration, is a non-tumor, non-inflammatory, chronic, recurrent, painless, swollen salivary gland disease.
