Fogorvosi szemle, 1999 (92. évfolyam, 1-12. szám)

1999-05-01 / 5. szám

Dr. Vörös-Balog, T., dr. Dombi, Cs., dr. Vincze, N., dr. Bánóczy, J.: Epidemiological survey of tongue lesions and examination of the aetiological factors

The prevalence of tongue lesions, and relationships with different systemic diseases, according to the international literature of epidemiologic studies were reviewed. The data were compared with a Hungarian investigation of 5034 individuals, between 1992 and 1995 in Budapest. Tongue lesions were found in 22,76% of the examined individuals. The ratio was similar in women (51%) and men (49%). Fissured tongue was found in 21,49%, geographic tongue in 2,21%, atrophic tongue in 0,12% and central papillar atrophy in 0,70%. These data agree in general with the epidemiological data found in the international literature. Some rare tongue alterations were also investigated. Lingua indentata was found in 1,49% and hypertrophy of papillae foliatae was found in 0,20%. The relationship with different systemic diseases was the following: In diabetes mellitus tongue lesions were found in 29,03%, in hypertension in 28,63%, connected to heart- and vascular diseases in 25,15%, to haematologic diseases in 17,54%. Tongue lesions were found in 23,86% in the case of liver disease, in 22,38% in gastrointestinal diseases and in 20,69% associated to tumors. In the case of Candida’s infection tongue alterations were found in 41,6%, in smokers in 23,72%. Tongue lesions caused complaints rarely, only in 2,27%. The recognition of tongue lesions may be helpful in the early diagnosis of systemic diseases.

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