Differential Diagnosis for Sensitive Tongue
- Single most likely diagnosis
- Geographic tongue: This condition is characterized by the appearance of single or multiple, well-demarcated, smooth, red areas on the tongue, which can cause sensitivity. It is a common and benign condition.
- Other Likely diagnoses
- Oral lichen planus: An autoimmune condition that can cause white patches and sensitivity on the tongue and other mucous membranes.
- Burning mouth syndrome: A condition characterized by a burning sensation on the tongue and other areas of the mouth, often without any visible signs.
- Nutritional deficiencies (e.g., vitamin B12, iron, or zinc deficiency): Deficiencies in these nutrients can cause changes in the tongue's surface, leading to sensitivity.
- Allergic reactions or irritations: Exposure to certain foods, substances, or oral care products can cause an allergic reaction or irritation, leading to a sensitive tongue.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Oral cancer: Although rare, oral cancer can cause sensitivity and changes in the tongue. Early detection is crucial for effective treatment.
- Infections (e.g., oral thrush, herpes simplex): Certain infections can cause sensitivity and other symptoms on the tongue, and prompt treatment is necessary to prevent complications.
- Rare diagnoses
- Erythema multiforme: A rare skin condition that can cause lesions and sensitivity on the tongue and other mucous membranes.
- Pemphigus vulgaris: A rare autoimmune disease that can cause blisters and sensitivity on the tongue and other areas of the mouth.
- Sjögren's syndrome: An autoimmune disorder that can cause dry mouth and sensitivity on the tongue, among other symptoms.