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The pH of stimulated and resting saliva in different morphologic forms of the tongue surface in a young population.

Salivary condition and its correlation to tongue morphology was studied in 149 dental students. The students were divided according to the morphologic form of the tongue. The salivary pH and the buffer capacity of resting and stimulated saliva were determined. The pH values in the resting saliva of the fissured tongue group were more alkaline than those in the control group. The difference in pH values of stimulated saliva in the fissured tongue and control groups was only indicative. The stimulated saliva values of the normal tongue and the geographic tongue groups were similar. The pH valves of resting saliva in the geographic tongue group were more acidic than those in the normal tongue group. The salivary pH values of the filiform atrophy group were more acidic than those of the control group: resting salivar highly significantly and stimulated saliva significantly. The pH values of the hairy tongue group were also more acidic than those of the control group: both resting saliva and stimulated saliva highly significantly. No differences were observed in salivary buffer capacity, although buffer capacity in the hairy tongue group seemed to be lower than in the other groups.

Adult↗

Geographic tongue: sensitivity to the environment.

The prevalence of geographic tongue was assessed among 102 atopic patients with extrinsic asthma and/or rhinitis and was found to be significantly greater in these patients than in an asymptomatic, nonatopic control population. However, there was no difference between the prevalence of geographic tongue among atopic patients with extrinsic asthma and rhinitis as compared to a group of patients with asthma and rhinitis who were not atopic. These findings suggest that geographic tongue is a sign common to those patients who have a tendency to develop recurrent acute inflammatory disease on surfaces in contact with the external environment (for example, asthma or rhinitis), whether they are atopic or not.

Adolescent↗

Burning mouth: an analysis of 57 patients.

The burning mouth complaint of each of fifty-seven patients was thoroughly studied. Psychogenesis was found to be the most frequent cause, followed by geographic tongue and moniliasis. Multiple causative factors, such as psychogenesis and moniliasis and psychogenesis and geographic tongue, were found in some patients. The purely psychogenic group was composed mostly of postmenopausal women. The tongue and palate were the most frequently affected sites. There were some similarities among patients in the geographic tongue and psychogenesis groups. A diagnostic protocol for patients with burning mouth is described.

Adult↗

Stomatitis areata migrans affecting the gingiva.

A 62-year-old male patient with a varied medical history and oral lesions consistent with stomatitis areata migrans is discussed. The stomatitis areata migrans affected essentially all oral soft tissues, including rarely involved gingival tissues. Clinical and histologic documentation of the gingival involvement is presented.

Gingivitis↗

Intraoral findings in patients with psoriasis with a special reference to ectopic geographic tongue (erythema circinata).

One hundred patients with a severe relapse of cutaneous psoriasis underwent a full intraoral examination. Nineteen patients had "ectopic geographic tongue" of the palate or buccal mucosa, and there appeared to be an increased incidence of periodontal disease. All other findings were within the normal range. HLA antigen studies of eight patients were carried out and showed an increased incidence of DR7.

Adolescent↗

Histocompatibility antigens and geographic tongue.

The HLA-A, B and HLA-DR antigens were investigated in 50 unrelated Greek persons with geographic tongue and in 380 healthy control persons. An increased incidence of DR5 and DRW6 antigens was observed in the blood of persons with geographic tongue. Ten (20%) of them had the DRW6 antigen, and it was significantly increased compared with 29 (7.6%) of the controls (p < 0.01, RR = 3.32). Twenty-seven (54%) of the experimental group showed DR5 antigen compared with 136 (35.7%) of the controls (p < 0.025, RR = 2.18). On the contrary, only 12% (5) of the experimental group had the B51 antigen in comparison with the controls (26.3%) (p < 0.05, RR = 0.37). A decrease of the DR2 antigen was also found in the persons with geographic tongue (24%) in comparison with the controls (39.2%) (p < 0.05, RR = 0.58).

Adolescent↗

Sudden infant death and acute posterior lingual inflammation.

A case is described of sudden and unexpected death in a 5-month-old boy who was found to have acute inflammation with multifocal abscess formation at the base of his tongue adjacent to the epiglottis. The case demonstrates the vulnerability of the upper aerodigestive tract in infancy to possible anatomic or functional obstruction from intrinsic lesions and draws attention to the potentially lethal effects of critically-placed posterior lingual inflammation.

Abscess↗

Generalized pustular psoriasis in childhood. Report of thirteen cases.

Generalized pustular psoriasis is rare in children. Less than 100 cases have been reported. We describe 13 children with this type of psoriasis. Seven had acute onset of widespread sterile pustules coalescing into lakes of pus with subsequent exfoliation (the Zumbusch pattern). This usually occurred in infancy and was difficult to control; recurrences developed several times per year. Three had the subacute benign annular pattern. They tended to be older and often had resolution within several years. Three had a mixed pattern with Zumbusch flares preceded by an annular or acral pattern. Most patients had an eruption preceding the generalized pustular psoriasis and often had precipitating factors. Generally, generalized pustular psoriasis has little serious chronic morbidity. The condition in most patients was well controlled with topical therapy. Systemic steroids were not helpful.

Acute Disease↗

Oral lesions in young children.

Oral lesions in very young children usually have a benign presentation, and only rarely contribute to significant aerodigestive symptomatology. Management begins with early recognition of the pathology and appropriate diagnosis. Hemangiomas, lymphangiomas, and teratomas may present with airway compromise or feeding difficulties, necessitating early intervention.

Child, Preschool↗