Median Rhomboid Glossitis
Etiology • A benign, inflammatory condition • Often related to yeast colonization (erythematous candidiasis) • Inflammatory process noted in response to overlying Candida
population • Exact mechanism is unclear
Clinical Presentation • Well-defined, asymptomatic erythematous patch on dorsum of
tongue • Paramedian erythema, usually with focal atrophy of filiform
Etiology • A benign, inflammatory condition • Often related to yeast colonization (erythematous candidiasis) • Inflammatory process noted in response to overlying Candida
population • Exact mechanism is unclear
Clinical Presentation • Well-defined, asymptomatic erythematous patch on dorsum of
tongue • Paramedian erythema, usually with focal atrophy of filiform
papillae • Chronic forms may become multinodular. • Rarely may be hyperkeratotic • May be mistaken for a benign or malignant tumor
Microscopic Findings • Papillary, atrophic or hyperplastic epithelium • Candidal colonization of surface • Heavy, chronic inflammatory infiltrate
Diagnosis • Clinical appearance, location
Treatment • Topical and/or brief course of systemic antifungal therapy
(optional) • Observation
Prognosis • Excellent