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pain in the tongue (同)glossodynia

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/03/02 15:54:39」(JST)

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Glossodynia or burning mouth syndrome (BMS) (also known as "Burning tongue"^[1] and "Orodynia"^[2]) is a condition characterized by a burning or tingling sensation on the lips, tongue, or entire mouth.

Typically, there are no visual signs like discoloration that help the diagnosis. BMD is defined as the presence of a burning sensation in the mouth and/or tongue (almost ALWAYS bilateral)without the presence of any discoloration, ulcers, or other visual anomolies in the oral cavity.

Causes

Possible causes include nutritional deficiencies, chronic anxiety or depression, type 2 diabetes, menopause, oral disorders such as thrush or dry mouth, or damaged nerves (specifically, cranial nerves associated with taste).

One cause of burning mouth pain, which may be often misdiagnosed as burning mouth syndrome, is a contact sensitivity Type IV hypersensitivity in the oral tissues to common substances such as sodium lauryl sulfate, a surfactant commonly used in household products, cinnamon aldehyde or dental materials. There are now several toothpastes on the market specifically without sodium lauryl sulfate or other preservatives which have been found to be associated with sensitivities.^[1]

Presentation

This condition appears more often in women, specifically women after menopause, than men. Pain typically is low or nonexistent in the morning and builds up over the course of the day.

Treatment

Low dosages of benzodiazepines, tricyclic antidepressants or anticonvulsants may prove to be an effective treatment.

Alpha-lipoic acid 600 to 800 mg administered daily in three or four doses has been found to reduce symptoms. Trials have been small, but alpha-lipoic acid may be an appropriate adjunctive treatment option.

References

^ ^a ^b James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. p. 63. ISBN 0-7216-2921-0.
^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.

De Rossi SS, Greenberg MS (October 1998). "Intraoral contact allergy: a literature review and case reports". J Am Dent Assoc 129 (10): 1435–41. PMID 9787540.

External links

Glossodynia/BMS in more detail
Go4Hope - The biggest resource for information about burning mouth syndrome

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English Journal

Eagle syndrome, a rare cause of glossodynia.

Texier C, Dang NP, Dallel R, Deschaumes C, Garcier JM, D'incan M.SourceDermatology department.
European journal of dermatology : EJD.Eur J Dermatol.2012 Oct 1;22(5):702-3. doi: 10.1684/ejd.2012.1801.
PMID 22922946

Glossodynia and coeliac disease.

Lucchese A, Guida A, Serpico R.SourceDepartment of Odontostomatology, Orthodontics and Surgical Disciplines, Second University of Naples (SUN), Naples, Italy. alberta.lucchese@unina2.it
Immunopharmacology and immunotoxicology.Immunopharmacol Immunotoxicol.2012 Apr;34(2):247-9. Epub 2012 Jan 23.
Coeliac disease is an immune-mediated chronic inflammatory disorder of the small bowel caused by irritant gluten and, possibly, other environmental cofactors, in genetically prone people. Coeliac disease is characterized by no (or elusive or varied) symptoms. Oral clinical settings include aphthous
PMID 22268634

Japanese Journal

症例報告舌痛症患者に対して,若手歯科医医師が臨床心理士にスーパーバイズを受けながら認知行動療法を行い症状が軽快した1例

佐藤英樹,松岡紘史,吉田光希 [他]
北海道医療大学歯学雑誌 = The dental journal of Health Sciences University of Hokkaido 32(2), 135-140, 2013-12
NAID 40020057748

Group cognitive-behavioral intervention for patients with burning mouth syndrome

Komiyama Osamu,Nishimura Hitoshi,Makiyama Yasuhide,Iida Takashi,Obara Ryoko,Shinoda Masamichi,Kobayashi Masayuki,Noma Noboru,Abe Osamu,De Laat Antoon,Kawara Misao
Journal of Oral Science 55(1), 17-22, 2013
This study was conducted to assess the psychological characteristics of, and determine the effectiveness of group cognitive-behavioral (CB) treatment for, patients with burning mouth syndrome (BMS). T …
NAID 130003366646