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Transient lingual papillitis is generally diagnosed based on patient presentation, meaning where it is located in the mouth and how big the bump is. [8] The visual presentation can also accompany various signs and symptoms such as difficulty eating, having a "strawberry tongue", increased saliva production, and a burning or tingling sensation. [9]
The exact appearance of the lesion is variable. Leukoplakia may be white, whitish yellow or grey. [29] The size can range from a small area to much larger lesions. [29] The most common sites affected are the buccal mucosa, the labial mucosa and the alveolar mucosa, [30] although any mucosal surface in the mouth may be involved. [2]
There are no symptoms associated with the lesion itself, [4] although many and varied symptoms and signs may be associated with the underlying cause of immunosuppression. . The lesion is a white patch, which almost exclusively occurs on the lateral surfaces of the tongue, although rarely it may occur on the buccal mucosa, soft palate, pharynx or esophagus
"COVID tongue refers to a rare but well-described condition in acute infection where the taste buds are attacked and temporarily damaged by the virus," Dr. Yancey explains. COVID tongue symptoms vary.
The lesions are harmless; no treatment is indicated beyond reassurance unless the person requests it. The most common and simple treatment is the construction of a specially made acrylic prosthesis that covers the biting surfaces of the teeth and protects the cheek, tongue, and labial mucosa (an occlusal splint). This is either employed in the ...
Leukoedema lesions disappear when the mucosa is stretched, which helps to differentiate it from other white lesions in the mouth. [2] The differential diagnosis is with leukoplakia , oral candidiasis , oral lichen planus , white sponge nevus , morsicatio buccarum , [ 3 ] hereditary benign intraepithelial dyskeratosis and dyskeratosis congenita.
WSN presents most commonly in the mouth, as thickened, bilateral, symmetrical white plaques with a spongy, corrugated or velvety texture. Lesions are typically present on the buccal mucosa, but may also affect the labial mucosa, alveolar ridge, floor of the mouth, ventral surface of the tongue, lip vermillion or soft palate.
Signs and symptoms are dependent upon the type of oral candidiasis. Often, apart from the appearance of the lesions, there are usually no other signs or symptoms. Most types of oral candidiasis are painless, but a burning sensation may occur in some cases. [8] Candidiasis can, therefore, sometimes be misdiagnosed as burning mouth syndrome.