Tongue pain: Difference between revisions

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In general '''tongue pain''' is burning or pain sensation of the tongue.
In general '''tongue pain''' is burning or pain sensation of the tongue.


===Complete Differential Diagnosis of the Causes of Tongue pain===
===Complete Differential Diagnosis of the Causes of Tongue pain===
==Most common==
* [[Aphthous ulcers]]
* [[Atrophic glossitis]]
* [[Bejel - mouth ulcer]]
* [[Canker sore]]
* [[Candida]] infection in the  mouth
* [[Dental ulcer]]
* [[Gingivostomatitis]]
* [[Heavy smoking]]
* [[Injury by tooth]]
* [[Macrocytic anemia]]
* [[Non-specific glossitis]]
* [[Poorly fitting dentures]]
* [[Vitamin deficiency]]
* [[Infection]]
==By organ system==
==By organ system==


{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Referred heart pain]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Adam and Eve poisoning]], [[Chemical poisoning -- Sulfuric Acid]], [[Elephant's-ear poisoning]], [[Heavy metal poisioning]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[erythema multiform]], [[Lichen planus]], [[Pemphigus vulgaris]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[ACE inhibitors]], [[Albuterol]], [[Antibiotic glossitis]], [[Escitalopram oxalate]], [[Furosemide]], [[Infliximab]], [[Mecamylamine]], [[Tubocurarine]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Carcinoid syndrome]], [[Diabetes mellitus]], [[Functioning pancreatic endocrine tumor]], [[Glucagonoma syndrome]], [[Hypothyroidism]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Cold sores]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Burning mouth syndrome]], [[Calculus in duct of submandibular salivary gland]], [[Canker sore]], [[Celiac sprue]], [[Crohns disease]], [[Dry mouth]], [[Geographic tongue]], [[Gingivostomatitis]], [[Lingual muscle disorder]], [[Lip and Oral cavity cancer]], [[Salivary gland disorders]], [[Sialolithiasis]], [[Cystic fibrosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Familial Selective Vitamin B12 Malabsorption]], [[Imerslund-Grasbeck_syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Hunter glossitis]], [[Iron deficiency anemia]], [[Macrocytic anemia]], [[Pernicious anemia]], [[Leukemia]],  [[Folic acid deficiency anemia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Candida]] infection in the mouth, [[Hand-Foot-Mouth Syndrome]], [[Herpes simplex]] stomatitis, [[HIV]], [[Minor viral disease]], [[Oral infection]], [[Scarlet fever]], [[Streptococcal infection]], [[Syphilis]], [[Thrush]], [[Trichinosis]], [[Tuberculosis ulcer]], [[Vincent's stomatitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Myositis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Brain disorders]], [[Fibromyalgia]], [[Neuralgia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Cobalamin malabsorption, selective, with proteinuria]], [[Congenital Vitamin B12 Malabsorption]], [[Eating cayenne pepper]], [[Folic acid deficiency anemia]], [[Pyridoxine deficiency]], [[Riboflavin deficiency]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Epithelioma]], [[Leukemia]], [[Oral cancer]], [[Tongue cancer]], [[Glucagonoma syndrome]], [[Lip and Oral cavity cancer]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Anxiety]], [[Depression]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Cystic fibrosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Uremia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet's disease]], [[Chemical allergy - sore tongue]], [[Sjogren's Syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Injury by tooth]], [[Lingual frenulum trauma]], [[Tongue injury]], [[Tongue piercing]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[After anesthetic]], [[Amyloidosis]], [[Aphthous ulcers]], [[Atrophic glossitis]], [[Bejel - mouth ulcer]], [[Collagen vascular disease]], [[Congenital fissured tongue ]], [[Foreign body]], [[Heavy smoking]], [[Hot drink or food]], [[Leukoplakia]], [[Median rhomboid glossitis]], [[Menopausal glossitis]], [[Moeller's glossitis]], [[Non-specific glossitis]], [[Periostitis]], [[Ranula]], [[Smoking Cessation]], [[Tetany]], [[Tongue biting]]
|-
|-
|}  
|}
 
==In alphabetical order==
<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
{{col-begin}} {{col-break}}
* [[ACE  inhibitors]]
 
* [[Adam and Eve poisoning]]
 
* [[After anesthetic]]
 
* [[Albuterol]]
 
* [[Amyloidosis]]
 
* [[Ankylosing spondylitis]]
 
* [[Antibiotic glossitis]]
 
* [[Anxiety]]
 
* [[Aphthous ulcers]]
 
* [[Atrophic glossitis]]
 
* [[Behçet's disease]]
 
* [[Bejel - mouth ulcer]]
 
* [[Brain disorders]]
 
* [[Burning mouth syndrome]]
 
* [[Calculus in duct of  submandibular salivary gland]]


* [[Candida]] infection in the  mouth


* [[Canker sore]]


* [[Carcinoid syndrome]]


* [[Celiac sprue]]


* [[Chemical allergy]]


==In alphabetical order== <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
* [[Chemical poisoning --  Sulfuric Acid]]


*Atrophic glossitis
* [[Cobalamin malabsorption,  selective, with proteinuria]]
*Burning mouth syndrome
 
*[[Carcinoma]]
* [[Cold sores]]
*[[Celiac sprue]]
 
*Collagen vascular disease
* [[Collagen vascular disease]]
*[[Cystic fibrosis]]
 
*Dental ulcer
* [[Congenital fissured tongue  ]]
*[[Diabetes mellitus]]
 
*[[Drug]]s
* [[Congenital Vitamin B12  Malabsorption]]
*Epithelioma
 
*Foreign body
* [[Crohns disease]]
*Heavy metal poisioning
 
*Herpes simplex stomatitis
* [[Cystic fibrosis]]
*[[Leukemia]]
 
*[[Leukoplakia]]
* [[Dental ulcer]]
*[[Lichen planus]]
 
*Lingual muscle disorder
* [[Depression]]
*Lingual frenulum trauma
 
*Menopausal glossitis
* [[Diabetes mellitus]]
*Non-specific glossitis
 
*[[Periostitis]]
* [[Dry mouth]]
*Prosthesis incompatibility
 
*[[Ranula]]
* [[Eating cayenne pepper]]
*[[Scarlet fever]]
 
*Sialolithiasis
* [[Elephant's-ear poisoning]]
*Smoking
 
*Thrush
* [[Epithelioma]]
*Tongue biting
 
*[[Trichinosis]]
* [[Erythema multiform]]
*Tuberculosis ulcer
 
*[[Uremia]]
* [[Escitalopram oxalate]]
*Vincent's stomatitis
 
*Vitamin deficiency
* [[Familial Selective Vitamin  B12 Malabsorption]]
 
* [[Fibromyalgia]]
 
* [[Folic acid deficiency  anemia]]
 
* [[Foreign body]]
 
* [[Functioning pancreatic  endocrine tumor]]
 
* [[Furosemide]]
 
* [[Geographic tongue]]
 
* [[Gingivostomatitis]]
 
* [[Glucagonoma syndrome]]
 
* [[Imerslund-Grasbeck syndrome]]
 
* [[Hand-Foot-Mouth Syndrome]]
 
* [[Heavy metal poisioning]]
 
* [[Heavy smoking]]
 
* [[Herpes simplex]] stomatitis
 
* [[HIV]]
 
{{col-break}}
 
* [[Hot drink or food]]
 
* [[Hunter glossitis]]
 
* [[Hypothyroidism]]
 
* [[Infliximab]]
 
* [[Injury by tooth]]
 
* [[Iron deficiency anemia]]
 
* [[Leukemia]]
 
* [[Leukoplakia]]
 
* [[Lichen planus]]
 
* [[Lingual frenulum trauma]]
 
* [[Lingual muscle disorder]]
 
* [[Lip and Oral cavity cancer]]
 
* [[Macrocytic anemia]]
 
* [[Mecamylamine]]
 
* [[Median rhomboid glossitis]]
 
* [[Menopausal glossitis]]
 
* [[Minor viral disease]]
 
* [[Moeller's glossitis]]
 
* [[Myositis]]
 
* [[Neuralgia]]
 
* [[Non-specific glossitis]]
 
* [[Oral infection]]
 
* [[Pemphigus vulgaris]]
 
* [[Periostitis]]
 
* [[Pernicious anemia]]
 
* [[Poorly fitting dentures]]
 
* [[Prosthesis incompatibility]]
 
* [[Pyridoxine deficiency]]
 
* [[Ranula]]
 
* [[Referred dental pain]]
 
* [[Referred heart pain]]
 
* [[Riboflavin deficiency]]
 
* [[Salivary gland disorders]]
 
* [[Scarlet fever]]
 
* [[Sialolithiasis]]
 
* [[Sjogren's Syndrome]]
 
* [[Smoking Cessation]]
 
* [[Streptococcal infection]]
 
* [[Syphilis]]
 
* [[Tetany]]
 
* [[Thrush]]
 
* [[Tongue biting]]
 
* [[Tongue cancer]]
 
* [[Tongue injury]]
 
* [[Tongue piercing]]
 
* [[Trichinosis]]
 
* [[Tuberculosis ulcer]]
 
* [[Tubocurarine]]
 
* [[Uremia]]
 
* [[Vincent's stomatitis]]
 
|}


==References==
==References==
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[[Category:Symptoms]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]

Latest revision as of 20:04, 15 June 2015

Human tongue

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


In general tongue pain is burning or pain sensation of the tongue.

Complete Differential Diagnosis of the Causes of Tongue pain

Most common

By organ system

Cardiovascular Referred heart pain
Chemical / poisoning Adam and Eve poisoning, Chemical poisoning -- Sulfuric Acid, Elephant's-ear poisoning, Heavy metal poisioning
Dermatologic erythema multiform, Lichen planus, Pemphigus vulgaris
Drug Side Effect ACE inhibitors, Albuterol, Antibiotic glossitis, Escitalopram oxalate, Furosemide, Infliximab, Mecamylamine, Tubocurarine
Ear Nose Throat No underlying causes
Endocrine Carcinoid syndrome, Diabetes mellitus, Functioning pancreatic endocrine tumor, Glucagonoma syndrome, Hypothyroidism
Environmental Cold sores
Gastroenterologic Burning mouth syndrome, Calculus in duct of submandibular salivary gland, Canker sore, Celiac sprue, Crohns disease, Dry mouth, Geographic tongue, Gingivostomatitis, Lingual muscle disorder, Lip and Oral cavity cancer, Salivary gland disorders, Sialolithiasis, Cystic fibrosis
Genetic Familial Selective Vitamin B12 Malabsorption, Imerslund-Grasbeck_syndrome
Hematologic Hunter glossitis, Iron deficiency anemia, Macrocytic anemia, Pernicious anemia, Leukemia, Folic acid deficiency anemia
Iatrogenic No underlying causes
Infectious Disease Candida infection in the mouth, Hand-Foot-Mouth Syndrome, Herpes simplex stomatitis, HIV, Minor viral disease, Oral infection, Scarlet fever, Streptococcal infection, Syphilis, Thrush, Trichinosis, Tuberculosis ulcer, Vincent's stomatitis
Musculoskeletal / Ortho Myositis
Neurologic Brain disorders, Fibromyalgia, Neuralgia
Nutritional / Metabolic Cobalamin malabsorption, selective, with proteinuria, Congenital Vitamin B12 Malabsorption, Eating cayenne pepper, Folic acid deficiency anemia, Pyridoxine deficiency, Riboflavin deficiency
Obstetric/Gynecologic No underlying causes
Oncologic Epithelioma, Leukemia, Oral cancer, Tongue cancer, Glucagonoma syndrome, Lip and Oral cavity cancer
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric Anxiety, Depression
Pulmonary Cystic fibrosis
Renal / Electrolyte Uremia
Rheum / Immune / Allergy Ankylosing spondylitis, Behçet's disease, Chemical allergy - sore tongue, Sjogren's Syndrome
Sexual No underlying causes
Trauma Injury by tooth, Lingual frenulum trauma, Tongue injury, Tongue piercing
Urologic No underlying causes
Dental No underlying causes
Miscellaneous After anesthetic, Amyloidosis, Aphthous ulcers, Atrophic glossitis, Bejel - mouth ulcer, Collagen vascular disease, Congenital fissured tongue , Foreign body, Heavy smoking, Hot drink or food, Leukoplakia, Median rhomboid glossitis, Menopausal glossitis, Moeller's glossitis, Non-specific glossitis, Periostitis, Ranula, Smoking Cessation, Tetany, Tongue biting

In alphabetical order

[1] [2]

References

  1. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X



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