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January 1967

The Hot Tongue Syndrome: Etiology and Treatment

Author Affiliations

From the School of Medicine and School of Dentistry, University of Southern California; the Pasadena Tumor Institute; and the Pasadena Foundation for Medical Research.

Arch Otolaryngol. 1967;85(1):90-92. doi:10.1001/archotol.1967.00760040092018

THE HOT TONGUE is a clinical entity characterized by complaints of pain, rawness, and soreness of the tongue and, often, other oral surfaces. It is a condition which has been a puzzling therapeutic problem for years. In my experiences and in the experiences of others vitamin supplementation has rarely been effective in relieving symptoms, and new therapeutic agents for control of anemic states have also seldom been helpful.

The oral mucous membranes, the site of these symptoms, are atrophic, thin, and easily irritated.1 The hot tongue is almost always associated with other alimentary tract complaints.2 My observations indicate a dysfunction of the gastrointestinal tract as a pertinent etiological factor.

Material  A total of 350 patients with subjective complaints relative to the oral mucous membranes were studied. In 86 of these patients the hot tongue was given as the chief complaint.Unilateral hyperesthesia of the tongue, glossodynia (a neurological

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