Transient lingual papillitis: A retrospective study of 11 cases and review of the literature

Abstract

Background Transient lingual papillitis (TLP) is a common, under-diagnosed, inflammatory hyperplasia of one or multiple fungiform lingual that has an acute onset, and is painful and transient in nature. Material and Methods Eleven cases of TLP were diagnosed based on their clinical features. Information on demographics, clinical characteristics, symptoms, individual or family history of similar lesions, medical history, management and follow-up were extracted from the patients’ records. The English literature was reviewed on TLP differential diagnosis, pathogenesis and management. Results The study group included 8 females and 3 males (age: 10-53 years, mean age 31.7±12.88 years). Seven cases were classified as generalized form of TLP and 4 as localized form. Nine cases were symptomatic. Time to onset ranged from 1 to 14 days. A specific causative factor was not identified in any case and management was symptomatic.Conclusions Although TLP is not considered as a rare entity, available information is limited. Diagnosis is rendered clinically, while biopsy is required in cases with a differential diagnostic dilemma. TLP should be included in the differential diagnosis of acute, painful tongue nodules. Key words:Transient lingual papillitis, fungiform papillary glossitis, tongue, nodules.

Suctional Hyperplasia of Tongue as a Consequence of Tongue-sucking Habit

“…[1][2][3][4] Some of the suspected diagnoses for such cases may be median rhomboid glossitis, chronic atrophic candidiasis, chronic pseudomembranous candidiasis, irritation fibroma, mucocoele, granular cell tumor, tertiary syphilis, lingual thyroid, transient lingual papillitis, scarlet fever or group I streptococcal oropharyngitis, drug reaction, and possibly even squamous cell carcinoma. [5][6][7] Both chronic atrophic candidiasis and chronic pseudomembranous candidiasis respond to oral antifungal drugs and furthermore even medial rhomboid glossitis is thought to have a candidial etiology. 8 All three are known to produce glossodynia.…”

Diseases of the Tongue; Some Unusual Lesions and Disorders

“…Lingual papillitis is a poorly understood inflammation of the fungiform papillae, showing a quite distinct clinical picture. Lingual papillitis is usually self-healing ('Transient lingual papillitis') [2].…”

Transient Lingual Papillitis: Case Report and Review of the Literature

“…2 TLP'nin her iki cinsiyette benzer oranlarda gö-rüldüğü bildirilmekle beraber, 11 hastanın değer-lendirildiği bir çalışmada, kadın predominansı saptanmıştır. 12 Hastaların çoğunda yaş, 1. ve 4. dekad aralığında olup, bu olgunun yaşı da literatür ile uyumlu bulunmuştur. 1,2,11,12 Tanı kriterleri net olmasa da TLP için biyopsi gerekli değildir.…”

“…Literatürde bir hastada, semptom tedavisinde fayda sağlayan 1/8 oranında papatya suyu ile günde üç kez gargara önerilmiştir. 12 Uygulanan tedavi ile ağrı şikâyetinde gerileme saptanmıştır.…”