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"
Line 22: Line 52:
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| [[erythema multiform]], [[Lichen planus]], [[Pemphigus vulgaris]]
|bgcolor="Beige"| [[erythema multiform]], [[Lichen planus]], [[Pemphigus vulgaris]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[ACE inhibitors]], [[Albuterol]], [[Antibiotic glossitis]], [[Escitalopram oxalate]], [[Furosemide]], [[Infliximab]], [[Mecamylamine]], [[Tubocurarine]]
|bgcolor="Beige"| [[ACE inhibitors]], [[Albuterol]], [[Antibiotic glossitis]], [[Escitalopram oxalate]], [[Furosemide]], [[Infliximab]], [[Mecamylamine]], [[Tubocurarine]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 36: Line 64:
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| [[Carcinoid syndrome]], [[Diabetes mellitus]], [[Functioning pancreatic endocrine tumor]], [[Glucagonoma syndrome]], [[Hypothyroidism]]
|bgcolor="Beige"| [[Carcinoid syndrome]], [[Diabetes mellitus]], [[Functioning pancreatic endocrine tumor]], [[Glucagonoma syndrome]], [[Hypothyroidism]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| [[Cold sores]]
|bgcolor="Beige"| [[Cold sores]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Burning mouth syndrome]], [[Calculus in duct of submandibular salivary gland]], [[Canker sore]], [[Celiac sprue]], [[Crohns disease]], [[Dry mouth]], [[Geographical tongue]], [[Gingivostomatitis]], [[Lingual muscle disorder]], [[Lip and oral cavity cancer]], [[Salivary gland disorders]], [[Sialolithiasis]], [[Cystic fibrosis]]
|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"| [[Familial Selective Vitamin B12 Malabsorption]], [[Grasbeck-Imerslund Disease]]
|bgcolor="Beige"| [[Familial Selective Vitamin B12 Malabsorption]], [[Imerslund-Grasbeck_syndrome]]
 
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Hunter glossitis]], [[Iron deficiency anemia]], [[Macrocytic anemia]], [[Pernicious anemia]], [[Leukemia]]
|bgcolor="Beige"| [[Hunter glossitis]], [[Iron deficiency anemia]], [[Macrocytic anemia]], [[Pernicious anemia]], [[Leukemia]],  [[Folic acid deficiency anemia]]
 
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 64: Line 87:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|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]],  
|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]]
[[Tuberculosis ulcer]], [[Vincent's stomatitis]]
 
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| [[Myositis]]
|bgcolor="Beige"| [[Myositis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| [[Brain disorders]], [[Fibromyalgia]], [[Neuralgia]]
|bgcolor="Beige"| [[Brain disorders]], [[Fibromyalgia]], [[Neuralgia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| [[Cobalamin malabsorption, selective, with proteinuria]], [[Congenital Vitamin B12 Malabsorption]], [[Eating cayenne pepper]], [[Folic acid deficiency anemia]], [[Pyridoxine deficiency]], [[Riboflavin deficiency]]
|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"
Line 89: Line 107:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Epithelioma]], [[Leukemia]], [[Oral cancer]], [[Tongue cancer]], [[Glucagonoma syndrome]], [[Lip and oral cavity cancer]]
|bgcolor="Beige"| [[Epithelioma]], [[Leukemia]], [[Oral cancer]], [[Tongue cancer]], [[Glucagonoma syndrome]], [[Lip and Oral cavity cancer]]
 
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
| '''Opthalmologic'''
Line 104: Line 120:
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| [[Anxiety]], [[Depression]]
|bgcolor="Beige"| [[Anxiety]], [[Depression]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| [[Cystic fibrosis]]
|bgcolor="Beige"| [[Cystic fibrosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| [[Uremia]]
|bgcolor="Beige"| [[Uremia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet's disease]], [[Chemical allergy - sore tongue]], [[Sjogren's Syndrome]]
|bgcolor="Beige"| [[Ankylosing spondylitis]], [[Behçet's disease]], [[Chemical allergy - sore tongue]], [[Sjogren's Syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 128: Line 140:
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Injury by tooth]], [[Lingual frenulum trauma]], [[Tongue injury]], [[Tongue piercing]]
|bgcolor="Beige"| [[Injury by tooth]], [[Lingual frenulum trauma]], [[Tongue injury]], [[Tongue piercing]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 140: Line 151:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[After anesthetic]], [[Amyloidosis]], [[Apthous 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]]
|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]]
 
* [[Chemical poisoning -- Sulfuric Acid]]
 
* [[Cobalamin malabsorption,  selective, with proteinuria]]
 
* [[Cold sores]]
 
* [[Collagen vascular disease]]
 
* [[Congenital fissured tongue  ]]
 
* [[Congenital Vitamin B12  Malabsorption]]
 
* [[Crohns disease]]
 
* [[Cystic fibrosis]]
 
* [[Dental ulcer]]
 
* [[Depression]]
 
* [[Diabetes mellitus]]
 
* [[Dry mouth]]
 
* [[Eating cayenne pepper]]
 
* [[Elephant's-ear poisoning]]
 
* [[Epithelioma]]
 
* [[Erythema multiform]]
 
* [[Escitalopram oxalate]]
 
* [[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]]


==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>
* [[Vincent's stomatitis]]


*Atrophic glossitis
|}
*Burning mouth syndrome
*[[Carcinoma]]
*[[Celiac sprue]]
*Collagen vascular disease
*[[Cystic fibrosis]]
*Dental ulcer
*[[Diabetes mellitus]]
*[[Drug]]s
*Epithelioma
*Foreign body
*Heavy metal poisioning
*Herpes simplex stomatitis
*[[Leukemia]]
*[[Leukoplakia]]
*[[Lichen planus]]
*Lingual muscle disorder
*Lingual frenulum trauma
*Menopausal glossitis
*Non-specific glossitis
*[[Periostitis]]
*Prosthesis incompatibility
*[[Ranula]]
*[[Scarlet fever]]
*Sialolithiasis
*Smoking
*Thrush
*Tongue biting
*[[Trichinosis]]
*Tuberculosis ulcer
*[[Uremia]]
*Vincent's stomatitis
*Vitamin deficiency


==References==
==References==
Line 190: Line 370:




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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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