Glossodynia from Candida-associated lesions, burning mouth syndrome, or mixed causes

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Haruhiko Terai, Masashi Shimahara

Abstract

Candida-associated lesions (CALs) and burning mouth syndrome (BMS) may induce glossodynia without objective manifestations. We investigated patients with glossodynia to examine the relationship between CAL and BMS. A visual analog scale was used to divide 95 patients with glossodynia into three groups according to intensity of pain at rest and when eating. Group A was the functional pain group; group B was the nonfunctional pain group; and group C was a mixed pain group. Antifungal treatment was scheduled for patients with suspected Candida infection by clinical, mycological, or cytological criteria. Culture tests and direct examination results indicated that group A had high Candida positivity (73.0% by culture and 59.5% by direct examination), and showed a good response to antifungal treatment (75.7%). Antifungal treatment was not useful in group B. This was supported by a low Candida infection rate, as determined by direct examination (3.1%). For group C, Candida positivity and antifungal treatment effectiveness were between groups A and B. Furthermore, six patients in group C showed complete remission of functional pain by antifungal treatment only. Favorable outcomes were obtained for 23 patients (10 in group B and 13 in g...Continue Reading

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Citations

May 7, 2013·Current Pain and Headache Reports·Larry Charleston
Feb 7, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Emeline das Neves de Araújo LimaAna Miryam Costa de Medeiros
Jul 3, 2013·Dental Clinics of North America·Jaisri R ThoppayKatharine N Ciarrocca
Dec 4, 2012·Oral and Maxillofacial Surgery Clinics of North America·Heidi C Crow, Yoly Gonzalez
Sep 14, 2011·The British Journal of Dermatology·C SchusterB Kränke
Aug 1, 2016·Oral and Maxillofacial Surgery Clinics of North America·Gary D KlasserNan Su
Aug 9, 2016·Archives of Oral Biology·Noritaka OhgaYoshimasa Kitagawa
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Jul 2, 2020·Progress in Orthodontics·Martina ZiganteStjepan Spalj
Jan 28, 2021·Journal of Fungi·Eunae ChoHyung-Joon Ahn

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