Can “COVID‐19 tongue” be considered a pathognomonic finding in SARS‐CoV‐2 infection?

Pérez‐Sayáns, Mario; Ortega, Karem L.; Braz‐Silva, Paulo Henrique; Carreras‐Presas, Carmen Martín; Carrión, Andrés Blanco

doi:10.1111/odi.13807

Cited by 7 publications

(8 citation statements)

References 5 publications

(5 reference statements)

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“…Recently, there was a 'new clinical entity' called Covid tongue. 4 The main characteristics of the new entity were glossitis with lateral clefts, anterior 'temporary' lingual papillitis due to swelling of the tongue and friction with the teeth, and glossitis with patchy depapillation. Others reported geographic tongue coined as the Covid tongue.…”

Section: Discussionmentioning

confidence: 99%

“…Either way, the definition of Covid tongue is still far from clear. 4 It is still debatable whether the oral manifestations of Covid-19 are due to the primary infection of this virus, or whether they are merely direct systemic effects or secondary to the infection, such as drug-associated effects. One thing for certain is that the SARS Cov-2, as the etiologic microorganism of Covid-19 infection, has the capability to attach to and and infect epithelial cells layering the salivary gland, which can potentially modify the quality and quantity of the secreted saliva.…”

Section: Discussionmentioning

confidence: 99%

“…3 Dysgeusia, xerostomia, geographic tongue and Covid tongue are some of the reported oral symptoms for this infection. 4 One reason for oral manifestation is the distributed Angiotensin-converting enzyme 2 (ACE2) receptors on the oral epithelial cells from glandular epithelial to some lining area in the mouth. 3 Unfortunately, during the first Covid-19 pandemic, most dentists were unable to manage oral diseases, especially those related to Covid-19 infection.…”

Section: Introductionmentioning

confidence: 99%

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The treatment of Covid tongue in an isolation unit

et al. 2021

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Background: In 2019, a viral disease spread from Wuhan, Hubei Province in China. The disease was caused by severe acute respiratory syndrome related to coronavirus 2 (SARS-CoV-2 virus), which was named by the Coronavirus Study Group of the International Committee on Taxonomy of Viruses. Purpose: This article reports the multi-discipline treatment of Covid tongue and exfoliative cheilitis with a main diagnosis of bilateral pneumonia caused by SARS-CoV-2 infection. Case: A female patient, 70 years old was referred with a diagnosis of bilateral pneumonia by a pulmonologist. She complained of painful wounds all over her mouth. An intraoral clinical examination revealed white-thick lesion and multiple ulcerations, whilst an extraoral exam for exfoliative dermatitis has not been described. The working diagnosis was Covid tongue mixed with exfoliative cheilitis. Case management: The procedure was performed by teledentistry and direct visits to implement oral health care by asepsis, debridement and the application of Oxygene gel. Conclusion: The lesion was treated successfully due to the multidisciplinary approaches by an internist and pulmonologist by implementing integrated knowledge and was supported hugely by patient cooperation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The treatment of Covid tongue in an isolation unit

et al. 2021

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“…Therefore, these manifestations are probably secondary manifestation post treatment or due to the systemic deterioration caused by the disease. Therapeutic modalities used for COVID-19 infection, may contribute to oral health-related problems, as a result of an impaired immune system and susceptible mucosa (Halboub et al;Bezerra et al, 2020;Pérez-Sayáns et al). Stress, due to social restrictions, can also play an important role in the appearance of these conditions (Petrescu et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Its pathogenesis and etiology is still questionable. Interestingly, other study showed that these lesions may be related from treatment of COVID-19 or immunosuppression (Guerrero, 2021;Pérez-Sayáns et al, 2021). The aim of this study was to report the presentation of oral lesions found in a post-COVID-19 patient.…”

Section: Introductionmentioning

confidence: 89%

Oral Lesions Associated with Post-COVID-19: Disease Sequels or Secondary Infection?

Medeiros

Guimarães²

2021

Int. J. Odontostomat.

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The aim of this study was to report the presentation of oral lesions found in a post-COVID-19 patient. A 78-year-old female patient fifteen days post-COVID-19, confirmed through the PCR test, had pain in the mouth with a Visual Analogue Scale (VAS) 8, dysgeusia and odynophagia. Erosive lesions were observed with circumscribed halos, of different sizes along the entire length of the dorsum, bilateral margins of the tongue and labial mucosa. Topical use of vitamin E 40 mg, nystatin oral suspension 100000UI and artificial saliva spray was prescribed. After 14 days, complete repair was observed. However, the patient worsened her respiratory failure and died after 2 days. There is still insufficient evidence to confirm whether this patient's oral lesion is the result of a direct viral infection with SARS-CoV-2. The relevance of inserting the dentist in the care team for infected patients stands out and we encourage the performance of intraoral evaluation, even after medical discharge. In this way, it will be possible to understand its long-term oral manifestations of COVID-19.

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Could the oral cavity be a target organ in SARS-CoV-2 infection?

Kumar

2021

Evid Based Dent

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Can “COVID‐19 tongue” be considered a pathognomonic finding in SARS‐CoV‐2 infection?

Cited by 7 publications

References 5 publications

The treatment of Covid tongue in an isolation unit

The treatment of Covid tongue in an isolation unit

Oral Lesions Associated with Post-COVID-19: Disease Sequels or Secondary Infection?

Could the oral cavity be a target organ in SARS-CoV-2 infection?

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