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To endeavor to formulate a disease from a single symptom looks, as the Church would say, like a work of supererogation; nevertheless, a symptom may be so tormenting and cause a patient so much anxiety that it demands to be elevated to a clinical type. Painful tongue, or, as Engman designates it equally justly, burning tongue, is one of these conditions. In its entirety it consists of pain or, more frequently, burning or smarting, or it may be simply a persistent discomfort of one side of the tongue far back opposite the last molars, with frequently some reddening and elevation of the papillae in this region. One of our patients had soreness on both sides of the tongue, more pronounced on the left side. The distress caused is evident, and the fear of cancer is imminent. In fact, a strange feature of the condition is that pains in other regions
MONTGOMERY DW, CULVER GD. PAINFUL TONGUE. Arch Derm Syphilol. 1932;26(3):474–477. doi:10.1001/archderm.1932.01450030472013
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