Health Boards
Sun-18-09-2011, 21:53 PM
The fissured tongue is the most common oral finding in patients with psoriasis. Other names applied to the fissured tongue are scrotal or plicated tongue. Erythema migrans (geographic tongue) is often associated with fissured tongue as well.
![[Image: 230px-Fissured_geographic_tongue.jpg]](https://upload.wikimedia.org/wikipedia/commons/thumb/9/97/Fissured_geographic_tongue.jpg/230px-Fissured_geographic_tongue.jpg)
A chief complaint is that of malodor and discoloration associated with deep fissuring of the tongue due to the bacteria and food particles that become embedded in the grooves and cracks. The trapped particles may lead to inflammation and often cause discomfort/burning in the patient.
The fissured tongue is relatively common. In fact, it's so common that it is not noted in many clinical exams. Both aging and local environmental factors may also contribute to the small and deep grooves that become noticeable. As we age, other factors may come into play, such as the way that we process foods, vitamins, and minerals, and our T-cell functions decrease or may become faulty.
The deeper the crack, the more chronic the condition of the tongue. The body is experiencing dehydration and long-term adrenal stress. Typically, the tongue is swollen in this state and the pressure causes cracking. Once the underlying issues have been addressed, the fissuring should begin to diminish.
The most common items missing in the body are minerals, proper fats such as essential fatty acids (EFAs) and greens. The diet is extremely important, and the patient needs to increase fresh foods and water. Even though the fissured tongue is considered a benign condition with no treatment needed, the body is perhaps telling us something that needs to be addressed.
A chief complaint is that of malodor and discoloration associated with deep fissuring of the tongue due to the bacteria and food particles that become embedded in the grooves and cracks. The trapped particles may lead to inflammation and often cause discomfort/burning in the patient.
The fissured tongue is relatively common. In fact, it's so common that it is not noted in many clinical exams. Both aging and local environmental factors may also contribute to the small and deep grooves that become noticeable. As we age, other factors may come into play, such as the way that we process foods, vitamins, and minerals, and our T-cell functions decrease or may become faulty.
The deeper the crack, the more chronic the condition of the tongue. The body is experiencing dehydration and long-term adrenal stress. Typically, the tongue is swollen in this state and the pressure causes cracking. Once the underlying issues have been addressed, the fissuring should begin to diminish.
The most common items missing in the body are minerals, proper fats such as essential fatty acids (EFAs) and greens. The diet is extremely important, and the patient needs to increase fresh foods and water. Even though the fissured tongue is considered a benign condition with no treatment needed, the body is perhaps telling us something that needs to be addressed.