265. Glossitis

หญิง 54 ปี แสบลิ้นและรับประทานอาหารไม่มีรสชาดเรื้อรัง มากกว่า 2 เดือน วินิจฉัยอะไร สาเหตุมีอะไรบ้าง
Glossitis
Symptoms: -Tongue swelling
-Smooth appearance to the tongue
-Tongue color usually dark "beefy" red
-Pale, if caused by pernicious anemia
-Fiery red, if caused by deficiency of B vitamins
-Sore and tender tongue, swallowing, or speaking

Cause:
-Bacterial or viral infections (including oral herpes simplex)
-Mechanical irritation or injury from burns, rough edges of teeth or dental appliances, or other trauma
-Exposure to irritants such as tobacco, alcohol, hot foods, or spices
-Allergic reaction to toothpaste, mouthwash, breath fresheners, dyes in candy, plastic in dentures or retainers, or certain blood pressure medications (ACE inhibitors)
-Disorders such as iron deficiency anemia, pernicious anemia and other B-vitamin deficiencies, oral lichen planus, erythema multiform,aphthous ulcers, pemphigus vulgaris, syphilis, and others -Yeast infection
-Dry mouth associated with connective tissue disorders, such as Sjogren syndrome

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