246 Macroglossia Instruction Examine this patient’s mouth. Salient features History • Ask whether there is any difficulty in breathing or swallowing • Look for an underlying cause such as hypothyroidism or acromegaly. Examination • Protrusion of the resting tongue beyond the teeth or alveolar ridge. The impressions of the teeth may be obvious along the edges of the tongue on either side (Fig. 246.1). Fig. 246.1 Macroglossia in AL amyloidosis. (With permission from Firestein et al. 2008.) Diagnosis This patient has macroglossia (lesion), the cause of which is not obvious by clinical examination (aetiology); it is complicated by heavy breathing (functional status). Questions What do you understand by the term macroglossia? It is a resting tongue that protrudes beyond the teeth or alveolar ridge. It is usually used to indicate long-term painless enlargement rather than the rapid growth of acute parenchymatous glossitis. What are the types of macroglossia? • True macroglossia: definitive histopathological findings: • Primary: characterized by hypertrophy or hyperplasia of tongue muscles Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Dermatomyositis Arteriovenous fistula Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Macroglossia Full access? Get Clinical Tree Get Clinical Tree app for offline access Get Clinical Tree app for offline access
246 Macroglossia Instruction Examine this patient’s mouth. Salient features History • Ask whether there is any difficulty in breathing or swallowing • Look for an underlying cause such as hypothyroidism or acromegaly. Examination • Protrusion of the resting tongue beyond the teeth or alveolar ridge. The impressions of the teeth may be obvious along the edges of the tongue on either side (Fig. 246.1). Fig. 246.1 Macroglossia in AL amyloidosis. (With permission from Firestein et al. 2008.) Diagnosis This patient has macroglossia (lesion), the cause of which is not obvious by clinical examination (aetiology); it is complicated by heavy breathing (functional status). Questions What do you understand by the term macroglossia? It is a resting tongue that protrudes beyond the teeth or alveolar ridge. It is usually used to indicate long-term painless enlargement rather than the rapid growth of acute parenchymatous glossitis. What are the types of macroglossia? • True macroglossia: definitive histopathological findings: • Primary: characterized by hypertrophy or hyperplasia of tongue muscles Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Dermatomyositis Arteriovenous fistula Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Macroglossia Full access? Get Clinical Tree
