lingua plicata

溝舌

WordNet

1. water chestnut whose spiny fruit has two rather than 4 prongs (同)ling ko, Trapa bicornis
2. elongated marine food fish of Greenland and northern Europe; often salted and dried (同)Molva molva
3. American hakes

PrepTutorEJDIC

1. タラ科の食用魚
2. ギョリュウモドキ(エリカに似た観賞用植物)
3. 舌,舌状の器官 / 言語

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/20 13:54:02」(JST)

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Fissured tongue
Classification and external resources
Specialty	gastroenterology
ICD-10	K14.5
ICD-9-CM	529.5, 750.13
OMIM	137400
DiseasesDB	32503
eMedicine	derm/665
MeSH	D014063

Fissured tongue (also known as "scrotal tongue," "lingua plicata," "Plicated tongue," and "furrowed tongue") is a benign condition characterized by deep grooves (fissures) in the dorsum of the tongue. Although these grooves may look unsettling, the condition is usually painless. Some individuals may complain of an associated burning sensation.

It is a relatively common condition, with a prevalence of between 6.8%-11% found amongst children. The prevalence of the condition increases significantly with age, occurring in 40% of the population after the age of 40.

Prevalence

It is a relatively common condition, with an estimated prevalence of 6.8%-11% amongst children. Males are more commonly affected. The condition may be seen at any age, but generally affects older people more frequently. The condition also generally becomes more accentuated with age. The prevalence of the condition increases significantly with age, occurring in 40% of the population after the age of 40.

Clinical features

The clinical appearance is considerably varied in both the orientation, number, depth and length of the fissure pattern. There are usually multiple grooves/furrows 2-6 mm in depth present. Sometimes there is a large central furrow, with smaller fissures branching perpendicularly. Other patterns may show a mostly dorsolateral position of the fissures (i.e. sideways running grooves on the tongue's upper surface). Some patients may experience burning or soreness.

Cause

The cause is unknown, but it may be partly a genetic trait. Aging and environmental factors may also contribute to the appearance.

Associated conditions

Fissured tongue is seen in Melkersson-Rosenthal syndrome (along with facial nerve paralysis and granulomatous cheilitis). It is also seen in most patients with Down syndrome, in association with geographic tongue, in patients with oral manifestations of psoriasis, and in healthy individuals. Fissured tongue is also sometimes a feature of Cowden's syndrome.

Treatment

If the fissures are causing halitosis, then mechanical tongue cleansing should be introduced to the patient's oral hygiene routine.

Since the condition is otherwise entirely benign, no treatment is indicated and the patient should be reassured that it is a common variance of the normal appearance of the tongue.

References

UpToDate Contents

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• 1. 口腔病変 oral lesions
• 2. 小児における口腔軟部組織病変 soft tissue lesions of the oral cavity in children
• 3. ベル麻痺：成人における病因、臨床的特徴、および診断 bells palsy pathogenesis clinical features and diagnosis in adults
• 4. ベル麻痺：成人における予後および治療 bells palsy prognosis and treatment in adults
• 5. ダウン症：臨床的特徴および診断 down syndrome clinical features and diagnosis

English Journal

• Melkersson-rosenthal syndrome with isolated unilateral eyelid edema: an immunopathologic study.

• Chen X1, Jakobiec FA, Yadav P, Werdich XQ, Fay A.
• Ophthalmic plastic and reconstructive surgery.Ophthal Plast Reconstr Surg.2015 May-Jun;31(3):e70-7. doi: 10.1097/IOP.0000000000000088.
• Lymphedema is caused by defective drainage of the lymphatic system. In Melkersson-Rosenthal syndrome, involvement is predominantly of the lumens with blockage of lymphatic channels by histiocytic-epithelioid cell clusters accompanied by dermal granulomas and lymphocytes. It is a localized, painless,
• PMID 24853119

• Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications.

• Lynge Pedersen AM1, Nauntofte B, Smidt D, Torpet LA.
• Oral diseases.Oral Dis.2015 Mar 7. doi: 10.1111/odi.12337. [Epub ahead of print]
• OBJECTIVES: To determine the prevalence of oral mucosal lesions in a sample of older Danish people and to investigate their associations with age, gender, systemic diseases, medications, xerostomia and salivary secretion.METHODS: A total of 668 community-dwelling individuals aged 65-95 years underw
• PMID 25754744

• Impact of oral mucosal conditions on oral health-related quality of life in preschool children: a hierarchical approach.

• Vieira-Andrade RG1, Martins-Júnior PA, Corrêa-Faria P, Marques LS, Paiva SM, Ramos-Jorge ML.
• International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children.Int J Paediatr Dent.2015 Mar;25(2):117-26. doi: 10.1111/ipd.12107. Epub 2014 Apr 15.
• OBJECTIVE: To determine the impact of oral mucosal conditions on OHRQoL in preschool children.METHODS: A cross-sectional study was carried out with a selected representative sample of 724 children aged 2-5 years and their parents/caregivers. Data were collected through interviews with parents/caregi
• PMID 24730747

Japanese Journal

• Melkersson-Rosenthal症候群例

• 村井 紀彦,塩見 洋作,塩見 佳子,長谷川 賢作,松田 英賢
• 耳鼻咽喉科臨床 93(3), 195-199, 2000-03-01
• … Because lingua plicata was also exhibited, the diagnosis of Melkersson-Rosenthal syndrome was confirmed. …
• NAID 10005599761

• A Case of Melkersson-Rosenthal Syndrome Combined with Incomplete Tolosa-Hunt Syndrome.

• 田澤 真理,渡辺 秀義,清 佳浩,滝内 石夫,後藤 昇
• 皮膚 34(1), 37-42, 1992
• A case of Melkersson-Rosenthal syndromecombined with Tolosa-Hunt syndrome isreported. A 73-year-old woman had developedsudden swelling of the upper lip, linguaplicata, facial palsy, abducens paralysis …
• NAID 130003843828

• A case of Melkersson-Rosenthal syndrome presenting with hearing loss.

• 國弘 幸伸,大内 利昭,小川 茂雄,佐藤 彰芳,原田 竜彦,神崎 仁
• 耳鼻咽喉科展望 33(5), 409-417, 1990
• … However, physical examination at the time of presentation revealed an asymmetrical swelling of the upper lip marked on the right side, right facial weakness with associated movements of a moderate degree and lingua plicata as additional findings. …
• NAID 130003974557

Related Links

• Lingua plicata - RightDiagnosis.com - Right Diagnosis

Lingua plicata symptoms, causes, diagnosis, and treatment information for Lingua plicata (Geographic Tongue) with alternative diagnoses, full-text book chapters, misdiagnosis, research treatments, prevention, and prognosis. ...

• Lingua plicata - PubMed Central (PMC)

Lingua plicata is characterized by deep grooves on the tongue’s dorsum and sides, as seen in a 30-year-old woman following treatment for Hodgkin lymphoma. Lingua plicata is a benign disorder and is frequently found in ...

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★リンクテーブル★

リンク元	「溝舌」
関連記事	「plica」

「溝舌」

　　[★]

英

fissured tongue

ラ

lingua plicata

同

溝状舌

「plica」

　　[★]

皺襞

関

plicae、plicate