What Can Cause Tongue Pimples?

Lichen planus is a chronic inflammatory disease of the skin and mucous membranes and is one of the common diseases of the oral mucosa. The etiology may be related to infection, mental, endocrine, systemic diseases, genetics and immunity.

Basic Information

English name

lichen planus of tongue

Visiting department

Stomatology

Common causes

May be related to infection, mental, endocrine, systemic diseases, genetics and immunity.

Common symptoms

Lichen planus, tongue margin, and abdomen

Causes of tongue lichen planus

Infection factor

Earlier it was thought to be related to viral and bacterial infections, but there is no conclusive evidence.

2. Neuropsychological factors

Due to environmental, family, work, personal life and other factors, the patient's physical and mental activities are affected, mental trauma, tension, anxiety, depression, etc. cause the body to undergo a series of changes in psychology, pathology, biochemical metabolism and other disorders. disease.

3. Endocrine factors

There are many female patients with this disease. Fluctuations are related to pregnancy, menopause, and some drugs that affect endocrine function. Patients with estradiol and testosterone were mostly lower than normal people.

4. Trace elements

When testing trace elements in the hair of patients, it was found that zinc and iodine were lower than normal, and nickel was higher than normal.

5. Systemic disease factors

Lichen planus patients are often accompanied by a variety of systemic diseases or symptoms. The incidence and development of many patients are related to the existence of certain system diseases, such as diabetes, hepatitis, hypertension, and gastrointestinal dysfunction.

6. Local irritants

Different metal restorations create potential differences in the mouth. In addition, irritation of the filling can cause lichen-like changes in the oral mucosa.

7. Genetic factors

Some people have found that the disease has a family history tendency. Many scholars have carried out pedigree research, but pedigree analysis does not conform to the single-gene heredity. Many studies have been conducted from the aspect of HLA (human leukocyte antigen). The HLA-type genes carried in patients with familial lichen planus are significantly higher than those in the non-familial lichen planus, indicating that the incidence of lichen planus may be related to genetic factors.

8. Immunological factors

At present, lichen planus is considered to be caused by low immune function, which may lead to susceptibility to an unknown virus, and it is suggested that patients have humoral immune disorders. Other scholars consider that erosive lichen planus has high IgA levels, and immune complexes are deposited in the basement membrane area, which indicates that during the pathogenesis of lichen planus, cellular immunity is involved.

Clinical manifestations of lichen planus

Lichen planus on the tongue accounts for about 87.5% of oral lesions. The lesions mostly occurred in the tongue tip, tongue margin and tongue abdomen in the front 2/3 area of the tongue. The early damage to the back of the tongue is pimples, grayish-white and blue, with filamentous nipples, and gradually forms round or oval gray-white plaques that are rough to the touch. After the tongue nipples shrink, they become bright red or dark red smooth spots, which can occur erosion. Dorsal tongue lesions can also have a mixed lesion of nipple proliferation and keratinization and partial atrophy. If the keratosis is obvious, it is easy to be confused with leukoplakia. Most of the tongue and abdomen lesions are reticular, dendritic or striped. Tongue tip lesions are rare and can affect the tongue band.

Tongue Lichen Planus Treatment

1. The patient's history should be asked in detail to regulate the overall situation.

2. Topical application of adrenocortical hormone ointment, gel and ointment, and selection of medicinal film, lozenge, aerosol. Alternatively, 10 to 25 mg of prednisolone, 5 to 10 mg of triamcinolone, triamcinolone, etc. can be added to the base of the lesion area with an equivalent amount of 2% procaine for injection.

3. Scraping and treating calculus on the tooth surface, use cotton swabs instead of brushing to avoid brushing and stabbing the mucous membrane in the damaged area.

4. Use chloroquine twice a day, pay attention to changes in blood. Can choose levamisole, transfer factor and so on.

5. Use chlorhexidine mouthwash or nystatin gargle, and you can also use a nystat poison film or paste locally.

6. Traditional Chinese medicine treatment.