Median Rhomboid Glossitis. Median rhomboid glossitis is a condition characterized by an area of redness and loss of lingual papillae on the central dorsum of the tongue sometimes including lesions of the tongue and palate. The affected area of the tongue is missing its normal coating of finger like projections called filiform papilla which normally cover the entire top surface of the tongue.
There is rarely soreness or pain associated with this oral condition and it is believed to be caused by a chronic fungal infection related to the candida group of microorganisms. Anti yeast medications are commonly used when treatment is desired. If the patient s fear of oral cancer is heightened a biopsy can be done.
It is seen in patients using inhaled steroids and smokers and is usually a kind of chronic atrophic oral candidiasis but hematinic deficiency and diabetes should be excluded.
Median rhomboid glossitis is often asymptomatic and is found by a dental professional during a routine care assessment. Expected results of diagnostic studies. Median rhomboid glossitis is often asymptomatic and is found by a dental professional during a routine care assessment. Median rhomboid glossitis is a rare tongue disorder which develops as a pink or smooth red patch on the dorsum of the tongue.
