tag:blogger.com,1999:blog-12660458.post1267109598992067469..comments2023-09-01T10:33:09.297-04:00Comments on Pulmonary Roundtable: Tongue lesions followed by dyspnea?Unknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-12660458.post-47689340848292102832008-08-13T02:10:00.000-04:002008-08-13T02:10:00.000-04:00Silly "know-it-alls":Geographic tongue is the body...Silly "know-it-alls":<BR/><BR/>Geographic tongue is the body's response to a variety of issues, from genetic to infectious to auto-immune disorders. <BR/><BR/>Be careful not to take your own <B>single</B> example as representative of <B>all</B> experiences.<BR/><BR/>Peace.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-81025869633268074482008-03-25T22:00:00.000-04:002008-03-25T22:00:00.000-04:00Geographic tongue (believe it or not, this is the ...Geographic tongue (believe it or not, this is the actual name of the condition). It's genetic. There are no cures. I have the same thing.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-79779460037052003232007-05-25T08:03:00.000-04:002007-05-25T08:03:00.000-04:00Red Herring!!!. Painless, denuded areas on the to...Red Herring!!!. Painless, denuded areas on the tongue can be a normal variant found in about 3% of the population (called geographic tongue). It can be chronic, migratory, but has no health implications.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-36754884034633033672007-04-04T14:11:00.000-04:002007-04-04T14:11:00.000-04:00Very interesting. I liked JJ's DDx.It's an odd seq...Very interesting. I liked JJ's DDx.<BR/>It's an odd sequence for Behcet's...<BR/>Coxsackie can cause tongue ulcerations and people can have aphthous ulcers associated with various infections including HIV but I can't tie them with the episodic respiratory symptoms. I would probably check an HIV in a young person with ulcers and unexplained symptoms anyway but I doubt that is the answer...<BR/>Recurrent aphthous stomatitis is the most common cause of mouth ulcers in North America and the pathogenesis of the ulcers is not well defined so these may be unrelated to the respiratory symptoms (I think I said that already).Baleeirohttps://www.blogger.com/profile/03993066135160692535noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-31431360195888465732007-03-29T12:25:00.000-04:002007-03-29T12:25:00.000-04:00Behcet's? Any skin lesions? Can't tie the VC dys...Behcet's? Any skin lesions? Can't tie the VC dysfunction together; patietns with rheumatoid can have involvement of the cricoarytenoid joint. Might also want to consider herpes (check Tzanck). Also, Paraneoplastic Pemphigus presents with oral lesions. Pulmonary manifestations usually include something like obiterative bronchiolitis and her cxr was normal, but respiratory failure, including upper airway has been reported. See for example Nousari HC, Deterding R, Wojtczack H, et al. The mechanism of respiratory failure in paraneoplastic pemphigus. N Engl J Med 1999;340:1406-1410.Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.com