Original article | Volume 21, Article 221, 30 Jul 2015 | 10.11604/pamj.2015.21.221.5733

Median rhomboid glossitis-developmental or candidal?

Prashanth Panta, Sridhar Reddy Erugula

Corresponding author: Prashanth Panta, Department of oral medicine and radiology, MNR Dental College and Hospital, Narsapur road, Sangareddy (502294) Telangana, India

Received: 07 Nov 2014 - Accepted: 13 Nov 2014 - Published: 30 Jul 2015

Domain: Clinical medicine

Keywords: Developmental lesion, depapillation, candidiasis

©Prashanth Panta et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Prashanth Panta et al. Median rhomboid glossitis-developmental or candidal?. Pan African Medical Journal. 2015;21:221. [doi: 10.11604/pamj.2015.21.221.5733]

Available online at: https://www.panafrican-med-journal.com/content/article/21/221/full

Home | Volume 21 | Article number 221

Original article

Median rhomboid glossitis-developmental or candidal?

Median rhomboid glossitis-developmental or candidal?

 

Prashanth Panta1,&, Sridhar Reddy Erugula2

 

1Department of oral medicine and radiology, MNR Dental College and Hospital, Narsapur road, Sangareddy (502294) Telangana, India, 2Department of Oral pathology, MNR Dental College and Hospital Narsapur road, Sangareddy (502294) Telangana, India

 

 

&Corresponding author
Prashanth Panta, Department of oral medicine and radiology, MNR Dental College and Hospital, Narsapur road, Sangareddy (502294) Telangana, India

 

 

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A male patient aged 20 years, visited us for routine oral examination. Incidentally, a well-demarcated reddish area of depapillation, of size 6X3 cm, was found on the dorsum of tongue near the midline. It was located 1 cm anterior to the circumvallate papillae and was roughly diamond shaped. Its surface was smooth, raised and fissured; the opposing palatal mucosa was non-erythematous (kissing lesion was absent). History revealed that it was stable since childhood and was occasionally associated with burning sensation. The patient was otherwise healthy, with no history of tobacco usage or diabetes. Based on history and clinical examination, a diagnosis of “median rhomboid glossitis” was arrived. The patient was given fluconazole (50mg, 1 time/day for 14 days) to rule out candidiasis, but, the lesion did not regress. Median rhomboid glossitis is also known as “central papillary atrophy of the tongue”. It is a benign lesion that shows a marked male predilection and occurs in less than 1% of adult population. Initially, it was believed to be developmental in origin, but, during the recent years, it has been considered as a variant of candidiasis. The differential diagnosis includes erythroplakia, geographic tongue, granular cell tumor. Patients with this condition should be reassured about its harmless nature and no treatment is required for asymptomatic cases.

 

 

Figure 1: central papillary atrophy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Median rhomboid glossitis-developmental or candidal?

Original article

Median rhomboid glossitis-developmental or candidal?

Original article

Median rhomboid glossitis-developmental or candidal?

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