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Fissured Tongue
Aka: Fissured Tongue, Dorsal Fissuring of Tongue, Congenital Furrows of Tongue, Scrotal Tongue
- Epidemiology
- Inherited Tongue fissuring increases with age
- Pathophysiology
- Normal benign Tongue variation increases with age
- May be caused by Xerostomia
- Symptoms (related to food trapping in fissures)
- Halitosis
- Altered Tongue coloration
- Signs: Deep fissures, grooves and folds of Tongue
- Deep median sulcus
- Deep transverse furrows across Tongue dorsum
- Associated Conditions
- Down Syndrome
- Sjogren Syndrome
- Geographic Tongue
- Melkersson-Rosenthal Syndrome (rare)
- Triad of Fissured Tongue, relapsing facial edema, Facial Nerve Palsy
- Differential Diagnosis
- Syphilitic Glossitis causes longitudinal Tongue furrows
- Management
- Treat underlying causes (esp. Xerostomia)
- Stroke Tongue 15x with Tooth Brush after meals, bedtime
- Complications
- Food debris accumulates in crevices and can irritate