Papillitis eruptive lingual H46

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Eruptive lingual papillitis; Eruptive lingual papillitis, transient lingual papillitis; lingual eruptive papillitis; Papillitis transiente

History
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Lacour, 1997

Definition
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Acute stomatitis of unknown aetiology (viral disease?), occurring mainly in children.

Occurrence/Epidemiology
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Incidence: 0.8/1,000 children.

Etiopathogenesis
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Viral infection? Incompatibility reactions, gastrointestinal diseases?

Manifestation
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Predominantly occurring in small children, rarely in adults.

Clinical features
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Harmless, suddenly appearing (without prodromies), usually strongly burning, inflammatory, hypertrophic papillae at the tip or lateral edges of the tongue. No vesicles or erosions. Usually no change in general condition. Some patients suffer from short-term (maximum 2 days) fever up to 39 °C. The incidence is increased in spring (April) and autumn (October). Submaxillary and cervical lymph nodes may be indolently enlarged (in 40% of patients). Spontaneous remission after 2-15 days.

Histology
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Hypertrophic fungiform papilla, dermal infiltrates preferably from neutrophil granulocytes; minimal spongiosis, dilated capillaries.

Differential diagnosis
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Hand-foot-and-mouth disease; hypertrophic papillae for food allergies; psoriasis vulgaris; Ciclosporin A treatments.

Therapy
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Since the disease is harmless, only symptomatic therapy is necessary.

Literature
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  1. Kalogirou EM et al (2017) Transient lingual papillitis: A retrospective study of 11 cases and review of theliterature
    .J Clin Exp Dent 9:e157-e162.
  2. Lacour JP, Perrin C (1997) Eruptive familial lingual papillitis: a new entity? Pediatric Dermatol 14: 13-16
  3. Roux O et al (2004) Erupitve lingual papillitis with household transmission: a prospective clinical study. Br J Dermatol 150: 299-303

Incoming links (1)

Eruptive lingual papillitis;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020