Median Rhomboid Glossitis

Aka: Median Rhomboid Glossitis, Central Papillary Atrophy of the Tongue, Glossitis Rhomboidea Mediana, Persistent Tuberculum Impar

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II. Epidemiology

  1. Incidence: 1%

III. Pathophysiology

  1. Papillary atrophy in the center of the Tongue

IV. Causes

  1. Oral Candidiasis (see Thrush)

V. Symptoms

  1. Typically asymptomatic
  2. Burning or itching is possible

VI. Signs

  1. Denuded, red smooth, shiny, sharply circumscribed symmetric Plaque
  2. Appears on posterior midline dorsal Tongue

VII. Differential Diagnosis

  1. See Glossitis
  2. Geographic Tongue
  3. Atrophic Glossitis

VIII. Management

  1. Asymptomatic lesions require no treatment
  2. Treat with oral Antifungals for candida
    1. See Thrush

IX. References

  1. Cooke (1975) Br J Dermatol 93(4): 399-405 [PubMed]
  2. Straub (2024) Am Fam Physician 110(5): 467-75 [PubMed]

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