Differential Diagnosis for Burning Sensation of Anterior Tongue
Single Most Likely Diagnosis
- Glossitis: This is the most likely diagnosis due to the common presentation of inflammation of the tongue, which can cause a burning sensation, especially when eating or drinking. Glossitis can be caused by various factors such as nutritional deficiencies, allergies, or irritants.
Other Likely Diagnoses
- Oral Lichen Planus: An autoimmune condition that can cause a burning sensation on the tongue, along with white patches or redness. It's a common condition that affects the mucous membranes inside the mouth.
- Geographic Tongue: A benign condition characterized by the appearance of single or multiple, well-demarcated areas of erythema (redness) on the tongue, which can cause a burning sensation.
- Dental or Orthodontic Irritation: Irritation from dental work, orthodontic appliances, or sharp teeth can cause a burning sensation on the anterior tongue.
Do Not Miss Diagnoses
- Oral Cancer: Although less likely, oral cancer can present with a burning sensation on the tongue. It's crucial to rule out this diagnosis, especially in patients with risk factors such as smoking or a family history of cancer.
- Neurological Disorders: Certain neurological conditions, such as trigeminal neuralgia, can cause burning sensations in the mouth, including the tongue.
Rare Diagnoses
- Pernicious Anemia: A rare condition caused by a deficiency in vitamin B12, which can lead to a burning sensation on the tongue.
- Sjögren's Syndrome: An autoimmune disorder that can cause dry mouth and a burning sensation on the tongue, although it's less common.
- Erythema Multiforme: A rare skin condition that can affect the mucous membranes, including the tongue, causing a burning sensation and other symptoms.