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Transient lingual papillitis: a papulokeratotic variant
Robert B Brannon1, Catherine M Flaitz
1Oral and Maxillofacial Pathology Department, School of Dentistry, Louisiana State University, New Orleans 70119, USA. rbrann@lsuhsc.edu
Summary
A rare, non-painful variant of transient lingual papillitis (TLP) was identified in a child. This recurring papulokeratotic TLP presents with widespread, asymptomatic tongue lesions, differing from typical painful TLP.
Area of Science:
- Oral pathology
- Dermatology
- Pediatric medicine
Background:
- Transient lingual papillitis (TLP) is a common, benign inflammatory condition affecting the tongue's fungiform papillae.
- Typically, TLP presents as localized, painful lesions with a short duration.
- Previous literature lacks descriptions of non-painful, widespread variants of TLP.
Observation:
- A unique case of a child presenting with a recurring papulokeratotic variant of TLP was observed.
- This variant was characterized by non-painful, floridly distributed lesions on the tongue.
- Clinical and pathological findings deviated significantly from the classic presentation of TLP.
Findings:
- Histopathological examination revealed a papulokeratotic pattern distinct from typical TLP.
- The condition demonstrated a recurring nature without associated pain or tenderness.
- Etiology and clinical course were documented for this previously undescribed variant.
Implications:
- This finding expands the clinical spectrum of transient lingual papillitis.
- Highlights the importance of considering atypical presentations in diagnosing oral mucosal conditions.
- Suggests further research into the specific triggers and pathogenesis of this variant is warranted.