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All Journal e-Journal Pustaka Kesehatan STOMATOGNATIC- Jurnal Kedokteran Gigi Jurnal Kedokteran Gigi Universitas Padjadjaran Health Notions Journal of Dentomaxillofacial Science Indonesian Journal for Health Sciences (IJHS) Denta: Jurnal Kedokteran Gigi Odonto dental journal
Pudji Astuti
Bagian Biomedik Fakultas Kedokteran Gigi Universitas Jember Jember, Indonesia
Dentistry Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Journal : Odonto dental journal

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Median rhomboid glossitis as a sign of undiagnosed diabetes mellitus - a case report Erna Sulistyani; Iin Eliana Triwahyuni; Pudji Astuti; Rindang Swandari
Odonto : Dental Journal Vol 10, No 1 (2023): July 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.10.1.7-13

Abstract

Background: Median Rhomboid Glossitis (MRG) is included in the group of nodular-plaque-like candidiasis, a subtype of chronic hyperplastic candidiasis. A lot of literature suggests that MRG is a manifestation of Diabetes Mellitus (DM), but the association between DM and MRG is unclear until now. This article reports an MRG found in an undiagnosed diabetes mellitus patient. Case: In October 2019, A 71-year-old man came to RSGM Universitas Jember to fix his loose denture. In the oral examination, we found a well-bordering, atrophic oval area surrounded by thick- soft white plaque. In his leg, we found itchy papule, ulcer, and crust multiple lesions. The microscopic examination of the white plaque swab showed that the spore and hyphae were found to fill all fields of view. The direct sugar blood level test showed that the sugar blood level was 390 mg/dL. We diagnosed the patient as having an MRG associated with suspected DM. Case Management: The patient was given miconazole oral gel and recommended to use it after cleaning the tongue three times a day. For diabetes management, the patient was referred to the Unit Medical Center University of Jember. The patient was diagnosed with diabetes mellitus and given oral-antidiabetics. After two weeks, the atrophic area had improved, and the white plaque had disappeared. Conclusion: General practitioners must be aware if they find the MRG in their patients caused a probability of underlying undiagnosed systemic disease, particularly diabetes mellitus on them.
Co-Authors Abdul Rochim Abdul Rochim Agustin Wulan Suci Dharmayanti Akhmad Yusuf Sulaiman Amandia Dewi Permana Shita Amandia Dewi Permana Shita Atik Kurniawati Berlian Prihatiningrum Danang Dewantara Ananda Putra Dwi Warna Aju Fatmawati Erna Sulistyani Hardhika Oktarianda Fachri Hestieyonini Hadnyanawati I Dewa Ayu Ratna Dewanti Iin Eliana Triwahyuni Ika Wahyu Purnamasari Indah Widyanti Julia Eka Putri Ayuningtyas Lutfi Meiga Sari Melok Aris Wahyukundari Narita Ajeng Loviana Rendra Chriestedy Prasetya Resti Ayu Indriana Rindang Swandari Ristya Widi Endah Yani Rosanita Firdausi Oktaviani Rr. Nektara Titan Dianastri Sari Setyaningsih Savira Aulia Rachim Sri Lestari Tantin Ermawati Winny Adriatmoko Zahara Meilawaty Zahara Meylawaty Zahreni Hamzah