Professional paper

https://doi.org/10.57140/mj.53.4.9

Long lasting atrophic glossitis due to autoimmune atrophic gastritis

Filip Miletić orcid.org/0009-0007-7350-2668 ; Karlovac General Hospital, Department of Otorhinolaryngology
Vladimir Bauer ; Karlovac General Hospital, Department of Otorhinolaryngology
Andro Košec orcid.org/0000-0001-7864-2060 ; University Hospital nCenter Sestre milosrdnice, Department of Otorhinolaryngology and Head and Neck Surgery; University of Zagreb, School of Medicine
Sonja Radić orcid.org/0000-0001-7670-0634 ; Karlovac General Hospital, Department of Pathology and Cytology

Abstract

Autoimmune gastritis is a primary chronic inflammatory disease of the stomach mucosa caused by a
pathologic autoimmune response directed against H/K -ATPase. Gastric lesions lead to sideropenic anemia
due to iron malabsorption, megaloblastic anemia arising from vitamin B12 deficiency and atrophic glossitis,
which may be the first and only clinical symptom. In everyday practice, tongue diseases are often
misdiagnosed. A holistic approach, detailed history and examination may reveal underlying and
interconnected diseases which are the main cause of the symptoms, presenting a significant challenge for
the otorhinolaryngologist. The paper presents a 53- years old patient who was misdiagnosed with burning
mouth mucosa syndrome

Keywords

atrophic glossitis; autoimmune gastritis; megaloblastic anemia; holistic approach

Hrčak ID:

313420

URI

https://hrcak.srce.hr/313420

Publication date:

16.1.2024.

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