Glossitis - inflammation of the tongue. Glossitis occurs as an independent disease, and is accompanied by other diseases - acute infections, diseases of the blood and other downstream there are acute and chronic glossitis.
The main signs of glossitis are redness, swelling language, difficult and painful chewing and swallowing. Often glossitis accompanied by increased salivation.
The reason glossitis as an independent disease are injuries language, such as the sharp edge of a tooth, incorrectly made prosthesis, etc., the penetration of the infection in the subcutaneous tissue and muscle tissue can cause abscesses and phlegmons (see Language).
The most common manifestation of acute glossitis is inflammation of papillae, located on the lateral surfaces of the language. Patients complain of pain, itching and burning in the affected areas of the language. Nipples puffy, giperemiei.
When the flu, measles, scarlet fever there hyperemia and swelling of the tongue. For scarlet fever is characteristic of the so-called crimson language. In diseases of the blood (illness Verligofa, chlorosis) often there are lesions in the form of severe edema, cyanosis, ulceration and cracks.
For pernicious anemia characteristic picture of the so-called goncharovskoe glossitis, expressed in atrophy of the mucous membrane of the tongue, the disappearance of papillae, the emergence of sites "alopecia" language.
Hyperacid gastritis often accompanied by the development of hyperplastic glossitis - language increases in volume as a result of edema and expansion of papillae. If anatsidnyh gastritis occurs gipoplasticheskaya glossitis - volume language decreases, papillae are poorly developed, mucosa hyperemic.
Rare anomalies cover the back of the tongue referred black tongue, villous, hairy, and folded language (Fig. 14).
glossitis inflammation of the tongueOriginal form glossitis is desquamative glossitis ("geographical" language; RIS). On the back and sides of the tongue appear sharply defined bright red shiny smooth spots, some of them have normal color, near new ones arise. Subjective sensations usually not the case. When the so-called Millerovskiy desquamative the glossitis (figure 15) as a result of intensive desquamation can occur erosion and ulceration. This is accompanied by a burning sensation and pain, especially when eating.
Sclerosis indurativnyy glossitis (figure 13) is a manifestation of poorly treated tertiary syphilis. At the surface it forms on the mucous membrane of the tongue are marked areas sclerosis, in the mucous membrane is characterized by deep furrows. When deep forms the growth of the fibrous tissue applies to all layers of the language, which leads to its shortening.
Hummocky glossitis occurs in the tertiary period of syphilis in the form of deeply located nodes (gum), a dense, possible to reveal certain that over time izyaslau. Ulcers are sharply defined thick in the bottom and edges, covered with yellow-gray bloom. After healing ulcers are formed depressed scars.
Treatment. It is necessary to eliminate all factors irritating mucous membrane of the tongue (solid, spicy and hot food), assign abundant irrigation weak solution of potassium permanganate or hydrogen peroxide (2 teaspoons at glass of warm water), 0,25-0,5% solution of bleach , followed by rinsing with warm water. After remitting inflammatory effects appoint astringents. For symptomatic glossit must first treat the underlying disease.