Fissured tongue

Scrotal tongue fissured or is a pathological condition frequently observed in the general population, characterized by deep fissures that range in girls placed along the dorsal and lateral tongue. Desi etiologia definitiva nu este cunoscuta se suspecteaza un model poligenic de ereditate, deoarece afectiunea determina aglomerari familiale de cazuri. Although no definitive etiology is known is suspected polygenic model of inheritance, as family clusters of cases cause disease.

Pacientii sunt asimptomatici, iar conditia este initial observata la examinarea intraorala de rutina ca un aspect accidental. Patients are asymptomatic, and the initial condition is observed in intra-oral examination as a routine part accidentally. Limba fisurata mai este observata si in sindromul Melkersson-Rosenthal si sindromul Down. Limba fisurata este o conditie total benigna si este considerata a fi o varianta a arhitecturii normale linguale. Cind este observata in asociere cu sindromul Melkersson-Rosenthal morbiditatea se datoreaza limbii fisurata dar este secundara inflamatiei granulomatoase a buzelor, tesutului facial moale si paraliziei faciale. Fissured tongue is seen in Melkersson-Rosenthal syndrome and Down syndrome. Fissured Language is a totally benign condition and is considered a variant of normal lingual architecture. When it is seen in Melkersson-Rosenthal syndrome associated with morbidity due to fissured tongue but is secondary to granulomatous inflammation of the lips, facial soft tissue and facial paralysis.

Nu este necesara nici o terapie sau medicatie . There is no need for any therapy or medication. Daca sunt asimptomatici pacientii sunt incurajati sa-si perieze limba pentru a elimina detritusurile care pot reprezenta iritanti. If they are asymptomatic and patients are encouraged to brush the tongue to remove debris that may be irritants.
Patogenie si cauze Pathogenesis and causes

Conditia afecteaza doar limba si este un element in sindromul Melkersson-Rosenthal, care consta din triada limba fisurata, cheilita granulomatoasa si paralizia nervului cranian VII. The condition affects only the language and is an element in Melkersson-Rosenthal syndrome, which consists of the triad of fissured tongue, Granulomatous Cheilitis and VII cranial nerve palsy. Etiologia este necunoscuta dar se suspicioneaza un model poligenic de ereditate. The etiology is unknown but is suspected polygenic model of inheritance.

Semne si simptome Signs and symptoms

Limba fisurata poate fi diagnosticata inca din copilarie, dar cel mai frecvent este observata in perioada de adult. Fissured tongue may be diagnosed in childhood, but most often is observed in adulthood. Evolutia conditiei pare a deveni predominanta o data cu inaintarea in virsta. The evolution seems to have become prevalent with age once. Leziunile sunt de obicei asimptomatice, daca detritusurile nu sunt blocate in fisuri sau daca conditia nu apare in asociere cu limba geografica . The lesions are usually asymptomatic, if debris is not trapped in cracks or if the condition does not occur in association with geographic tongue . La examinarea fizica limba fisurata afecteaza fata dorsala si se extinde la marginile laterale ale limbii. Profunzimea fisurilor variaza dar madia este de 6 mm. Fissured tongue affects the physical examination and extends to the dorsal sides of the tongue. The depth varies but Armadia crack is 6 mm. Fisurile pot fi interconectate separind fata dorsala a limbii in lobuli. Cracks can be interconnected separating lobules dorsal tongue.

Diagnostic Diagnosis
Biopsia se efectueaza rar pentru aceasta conditie. Biopsy is rarely performed for this condition.
Examen histologic. Se descrie ingrosarea laminei proprii, pierderea papilelor filiforme de pe suprafata mucoasei, hiperplazia retelei reticulate, microabcese neutrofilice in epiteliu si un infiltrat inflamator mixt in lamina propria. Histological examination. It describes their lamina thickening, loss of filiform papillae on the mucosal surface, cross-linked network hyperplasia, neutrophilic microabcese epithelium and a mixed inflammatory infiltrate in the lamina propria.
Diagnosticul diferential se face cu urmatoarele afectiuni: cheilita granulomatoasa, limba geografica. The differential diagnosis is made with the following conditions: Granulomatous Cheilitis, geographic tongue.
Nu se practica nici un tratament pentru aceasta conditie patologica. There is virtually no treatment for this pathological condition.