I. Pathophysiology

II. Symptoms

  1. Tongue dryness
  2. Intermittent Tongue Burning
  3. Paresthesias of taste
  4. Tongue Pain may be severe in advanced stages

III. Signs

  1. Complete or patchy Tongue baldness
  2. Smooth, slick, sore Tongue with lost papillae
  3. Atrophied hyperemic papillae (small punctate red dots)

IV. Causes

  1. Diabetes Mellitus
  2. Anemia
    1. Folic Acid deficiency Anemia
    2. Vitamin B12 Deficiency Anemia
    3. Iron Deficiency Anemia
  3. Other possible Vitamin Deficiencies
    1. Pyridoxine deficiency
    2. Riboflavin deficiency
    3. Niacin deficiency
  4. Anti-cancer drugs
  5. Riley-Day Dysautonia Syndrome

V. Management

  1. Treat underlying cause (e.g. nutritional deficiency)
  2. Soft, bland diet

Images: Related links to external sites (from Google)

Ontology: Atrophy of tongue papillae (C0155964)

Concepts Disease or Syndrome (T047)
ICD9 529.4
ICD10 K14.4
SnomedCT 50644009, 196585008, 196588005, 196586009, 196589002, 9491003
English Tongue Papillary Atrophy, Tongue papillary atrophy NOS, Hunter's glossitis (diagnosis), glossitis atrophic (diagnosis), glossitis atrophic, Atrophic glossitis (disorder), atrophic glossitis, Atrophy tongue papillae, smooth atrophic tongue, smooth atrophic tongue (physical finding), Tongue papillary atrophy NOS (disorder), hunter's glossitis, Atrophy of tongue papillae, Atrophic glossitis, Hunter's glossitis, Smooth atrophic tongue, Tongue denuded of papillae, Atrophy of tongue papillae (disorder), atrophic; glossitis, atrophy; tongue, papillae, Hunter; glossitis, glossitis; Hunter, glossitis; atrophic, tongue; atrophy, papillae, Glossitis, Hunter's
Spanish Atrophy of tongue papillae, Glositis atrófica, Atrofia de las papilas de la lengua NEOM, Atrofia de las papilas de la lengua, atrofia de papila lingual (trastorno), atrofia de papila lingual, atrofia papilar de la lengua, SAI (trastorno), atrofia papilar de la lengua, SAI, glositis atrófica (concepto no activo), glositis atrófica, glositis de Hunter, lengua atrófica lisa
German Atrophie der Zungenpapillen, atrophische Glossitis, Atrophie der Zungenpapillen NNB, Zungenpapillenatrophie
Korean 혀유두의 위축
Portuguese Glossite atrófica, Atrofia papilar da língua NE, Atrofia das papilas da língua
Dutch atrofie van tongpapillen, atrofische glossitis, tongpapillenatrofie NAO, Hunter; glossitis, atrofie; tong, papillen, atrofisch; glossitis, glossitis; Hunter, glossitis; atrofisch, tong; atrofie, papillen, Atrofie van tongpapillen
Italian Glossite atrofica, Atrofia delle papille della lingua, Atrofia delle papille linguali NAS
French Atrophie des papilles de la langue, Glossite atrophique, Atrophie papillaire de la langue SAI
Czech Atrofie jazykových papil NOS, Atrofická glositida, Atrofie jazykových papil
Japanese イシュクセイゼツエン, ゼツニュウトウイシュク, ゼツニュウトウイシュクNOS, 舌乳頭萎縮, 舌乳頭萎縮NOS, 萎縮性舌炎
Hungarian Atrophichus glossitis, Nyelvpapillák sorvadása, Nyelv papillaris atrophia k.m.n.