Ischemia of the tongue can result in a range of data depending on its severity and duration.


Clinical findings in tongue ischemia:

(1) glossitis

(2) chronic ulcerations

(3) intermittent pain precipitated by talking or repeated use of tongue (claudication)

(4) continuous pain

(5) infarction with necrosis


Causes of tongue ischemia:

(1) temporal (giant cell) arteritis

(2) other forms of vasculitis

(3) atherosclerosis of the external carotid artery

(4) thromboemboli


Differential diagnosis:

(1) burning mouth syndrome

(2) other causes of glossitis

(3) cancer of the tongue

(4) cancer therapy

(5) dentures or dental problems (resulting in lingual trauma)


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