Tongue pain: burning mouth syndrome vs Candida- associated lesion.
Tongue pain: burning mouth syndrome vs Candida- associated lesion.
复制标题
舌头疼痛：灼口综合征与念珠菌相关病变。
DOI：
10.1111/j.1601-0825.2006.01325.x
复制
发表时间：
2007
期刊：
影响因子：
3.8
通讯作者：
M. Shimahara
中科院分区：
文献类型：
--
作者：
H. Terai;M. Shimahara
客观化
我们调查了舌痛患者，以检查是否有可能鉴别诊断灼口综合征和念珠菌相关病变。
患者和方法
将60例舌痛患者按休息时和进食时疼痛程度分为3组：A组：功能性疼痛；B组：非功能性疼痛组。C组：混合痛组。抗真菌治疗计划用于临床、真菌学或细胞学怀疑为念珠菌感染的患者。
结果
培养试验和直接检测结果表明，A组念珠菌阳性率高，对抗真菌治疗有良好的反应。另一方面，B组的抗真菌治疗无效，直接检查中念珠菌感染的可能性很低，支持了这一组的结果。C组念珠菌阳性率和抗真菌治疗效果介于A、B两组之间。
结论
提示A组舌痛与念珠菌相关，B组舌痛为灼口综合征，C组舌痛为混合症状。
OBJECTIVE
We investigated patients with tongue pain to examine whether the differential diagnosis of burning mouth syndrome and Candida-associated lesion was possible.
PATIENTS AND METHODS
Sixty patients with tongue pain were divided into three groups according to the intensity of pain at rest and that when eating using the visual analogue scale: Group A: Functional pain group. Group B: Non-functional pain group. Group C: Mixed pain group. Antifungal treatment was scheduled for patients suspected clinically, mycologically or cytologically as having candidal infection.
RESULTS
The results of the culture test and direct examination indicated that group A was different from others by its high positivity for Candida, a good response to the antifungal treatment was obtained. On the other hand, antifungal treatment was not useful in group B, and the low possibility of Candida infection in the direct examination supported the result in this group. In group C, the positivity of Candida and the effect of the antifungal treatment were between groups A and B.
CONCLUSION
These results may suggest that tongue pain in group A is Candida-associated, that in group B is burning mouth syndrome-induced and that of group C is mixed conditions.