舌痛症の診断を再考する

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  • ゼツツウショウ ノ シンダン オ サイコウ スル
  • Reconsideration of Diagnosis of Glossalgia

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There are many kinds of diseases that can cause glossalgia, and it is not always easy to determine the differential diagnosis. Glossalgia is characterized by tongue pain without pathological changes, and divided into primary and secondary glossalgia. Secondary glossalgia is defined as glossalgia that has a clear cause. Causal therapies for secondary glossalgia are expected to relieve or cure its symptoms; however, they do not produce favorable responses in refractory cases. We treated several patients with secondary glossalgia treated with concomitant goreisan and powdered processed aconite roots (PA), and considered diagnosis of glossalgia. The patients were 3 females aged 53 to 78 years who presented at our hospital due to glossalgia. They were diagnosed with secondary glossalgia caused by xerostomia. The administration of goreisan did not produce a favorable response in any of these patients. The addition of PA remarkably relieved the glossalgia in each patient. This concomitant medicines may be useful for secondary glossalgia. Therefore, pathological conditions of these cases may be featured by intractable pain rather than xerostomia.

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