Median Rhomboid Glossitis Is Associated With. Note atypical appearance of the lesion which is more commonly an erythematous atrophic. Treatment is topical antifungal medications.
Red patch usually 2 3 cm long in posterior midline dorsal tongue just anterior to v shaped grouping of circumvallate papillae with loss of papillae or taste buds. It is a benign lesion that shows a marked male predilection and occurs in less than 1 of adult population. Median rhomboid glossitis is often asymptomatic and is found by a dental professional during a routine care assessment.
Median rhomboid glossitis is currently thought to represent a chronic fungal candidiasis infection in this area of the tongue see patient information sheet oral yeast infections.
It is usually asymptomatic but can cause burning or itching. 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 also known as central papillary atrophy of the tongue. Red patch usually 2 3 cm long in posterior midline dorsal tongue just anterior to v shaped grouping of circumvallate papillae with loss of papillae or taste buds.