Difference between revisions of "Glossitis"

Revision as of 09:40, 12 August 2009

Signalment

Long coated dogs that commonly get plant seeds stuck in their coats.

Description

Acute or chronic inflammation of the tongue usually secondary to an infectious, physical, chemical or metabolic cause:

Infectious: calicivirus, feline herpesvirus, panleukopanenia, fungal, necrotising stomatitis, rhinotracheitis and leptospirosis
Physical: irritation from periodontal disease, foreign bodies and trauma
Metabolic: uraemia, vitamin deficiencies and hypoparathyoidism
Chemical: heavy metal poisoning

Diagnosis

History

Ingestion of a foreign body

Clinical Signs

drooling
bleeding
dysphagia
a reddened, swollen and ulcerated tongue edge in the case of periodontal disease.
visualisation of a foreign body under the tongue (they may become embedded so that they cannot be palpated).
acute swelling in the case of insect stings
in chronic ulcerative glossitis there may be a thick, malodourous brown discharge.

Definitive Diagnosis

Careful examination of the entire mouth which the animal may resisit.

Treatment

Involves treating the primary cause. Removal of any foreign objects or diseased teeth. Systemic antibiotics for bacterial causes. Debridement,0.12% chlorhexidine mouthwashes, lingual curettage (in the case of a deep foreign body) may also be used to treat glossitis. Nutritional support should be offered if required.

Prognosis

References

Merck & Co (2008) The Merck Veterinary Manual

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-{{OpenPagesTop}}
+{{unfinished}}
-==Introduction==
-Acute or chronic inflammation of the [[Tongue - Anatomy & Physiology|tongue]] usually secondary to an infectious, physical, chemical or metabolic cause.
-Infectious causes include [[Feline Calicivirus|calicivirus]], [[Feline Herpesvirus 1|feline herpesvirus]], panleukopanenia, [[Fungi|fungal]], necrotising [[stomatitis]] and [[Leptospirosis - Cats and Dogs|leptospirosis]]. Physical causes may be irritation from [[Periodontal Disease|periodontal disease]], foreign bodies and trauma. Metabolic causes such as [[Uraemia|uraemia]], vitamin deficiencies and hypoparathyoidism can also be responsible.
-Additionally heavy metal poisoning and other chemicals can cause glossitis.
 ==Signalment==
-Any animal can become affected however dogs are more frequently at risk due to their non discriminatory eating habits.
+*Long coated dogs that commonly get plant seeds stuck in their coats.
+==Description==
+Acute or chronic inflammation of the tongue usually secondary to an infectious, physical, chemical or metabolic cause:
+*'''Infectious''': calicivirus, feline herpesvirus, panleukopanenia, fungal, necrotising stomatitis, rhinotracheitis and leptospirosis
+*'''Physical''': irritation from periodontal disease, foreign bodies and trauma
+*'''Metabolic''': uraemia, vitamin deficiencies and hypoparathyoidism
+*'''Chemical''': heavy metal poisoning
 ==Diagnosis==
 ===History===
-There may be a history of ingestion of a foreign body or access to chemicals.
+Ingestion of a foreign body
 ===Clinical Signs===
-Include drooling, bleeding, dysphagia, a reddened, swollen and ulcerated tongue edge in the case of periodontal disease.
+*drooling
-A foreign body may be visualised under the tongue (they may become embedded so that they cannot be palpated) or an acute swelling in the case of insect stings.
+*bleeding
+*dysphagia
-In chronic ulcerative glossitis there may be a thick, malodourous brown discharge present.
+*a reddened, swollen and ulcerated tongue edge in the case of [[Periodontal Disease - WikiClinical|periodontal disease]].
+*visualisation of a foreign body under the tongue (they may become embedded so that they cannot be palpated).
+*acute swelling in the case of insect stings
+*in chronic ulcerative glossitis there may be a thick, malodourous brown discharge.
 ===Definitive Diagnosis===
-Careful examination of the entire mouth which the animal may resist.
+Careful examination of the entire mouth which the animal may resisit.
 ==Treatment==
-Involves treating the primary cause. Removal of any foreign objects or diseased teeth. Systemic antibiotics for bacterial causes. Debridement, 0.12% chlorhexidine mouthwashes, lingual curettage (in the case of a deep foreign body) may also be used to treat glossitis. Nutritional support should be offered if required.
+Involves treating the primary cause. Removal of any foreign objects or diseased teeth. Systemic antibiotics for bacterial causes. Debridement,0.12% chlorhexidine mouthwashes, lingual curettage (in the case of a deep foreign body) may also be used to treat glossitis. Nutritional support should be offered if required.
+==Prognosis==
-<big><b>Also see [[Glossitis, Ulcerative]]</b></big>
-{{Learning
-|literature search = [http://www.cabdirect.org/search.html?it=any&q1=glossitis&calendarInput=yyyy-mm-dd&occuring1=title&show=all&rowId=1&rowId=2&rowId=3&options1=AND&options2=AND&options3=AND&occuring3=freetext&occuring2=freetext&publishedend=yyyy&la=any&publishedstart=yyyy&fq=sc%3A%22ve%22&y=12&x=39 Glossitis publications]
-|Vetstream = [https://www.vetstream.com/canis/search?s=glossal Glossal diseases]
-}}
 ==References==
 Merck & Co (2008) '''The Merck Veterinary Manual'''
-{{review}}
-{{OpenPages}}
-[[Category:Tongue_-_Pathology]][[Category:Oral Diseases - Dog]][[Category:Oral Diseases - Cat]]
-[[Category:Expert_Review - Small Animal]]
-[[Category:LisaM reviewing]]