Rhomboid glossitis caused by candida?
Inssaf Ramli, Badredine Hassam
The Pan African Medical Journal. 2016;23:8. doi:10.11604/pamj.2016.23.8.8671

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Rhomboid glossitis caused by candida?

Cite this: The Pan African Medical Journal. 2016;23:8. doi:10.11604/pamj.2016.23.8.8671

Received: 19/12/2015 - Accepted: 11/01/2016 - Published: 21/01/2016

Key words: Rhomboid glossitis, plaque, tongue, candida

© Inssaf Ramli et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/23/8/full

Corresponding author: Inssaf Ramli, Department of Dermatology, Avicenna Hospital, Faculty of Medecine and Pharmacy, University Mohamed V, Souissi, Rabat, Morocco (inssaf.ramli@gmail.com)


Rhomboid glossitis caused by candida?

 

Inssaf Ramli1,&, Badredine Hassam1

 

1Department of Dermatology, Avicenna Hospital, Faculty of Medecine and Pharmacy, University Mohamed V, Souissi, Rabat, Morocco

 

 

&Corresponding author
Inssaf Ramli, Department of Dermatology, Avicenna Hospital, Faculty of Medecine and Pharmacy, University Mohamed V, Souissi, Rabat, Morocco

 

 

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Rhomboid glossitis (RG), first described by Brocq in 1914, is an uncommon benign abnormality of the tongue, most frequently affecting men. His etiology is unknown, although it has been proposed that it may be derived from chronic candidiasis, or that it may be of embryological, inflammatory, or even immunological origin. It appears as a rounded or rhomboid painless plaque with well-defined margin, intense reddish or pinkish in colour due to atrophy or depapillation, and firm to palpation. The diagnosis of rhomboid glossitis is largely based on clinical examination, though histopathological studies of biopsies may be required if clinical appearance does not allow other possible diagnoses to be ruled out. No treatment is required for asymptomatic cases. We report a case of a female patient aged 24 years, consulted for a painless plaque in dorsum of the tongue. Clinical examination indicated an erythematous plaque, located anterior to the lingual "V" in left paramedial position, elongated and slightly fissured, about 2 x 0.5 cm in size. Candida culture tested positive. The lesion was thus diagnosed as RG with presence of C. albicans. Treatment was with fluconazole for 2 weeks at 50 mg per day. A complete disappearance of the lesion was noted. After 12 months follow-up, no recurrence was reported.

 

Figure 1: paramedianrhomboid glossitis

 

 

 

 

 

 

 

 

 

 


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