The Journal of the American Dental Association
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J Am Dent Assoc, Vol 132, No 11, 1549-1551.
© 2001 American Dental Association
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CLINICAL PRACTICE

CASE REPORT

Diabetic neuropathy masquerading as glossodynia



JANINE CARRINGTON, D.D.S., LEE GETTER, D.D.S. and RONALD S. BROWN, D.D.S., M.S.

Background. Diabetic neuropathy, or DN, occurs in approximately 50 percent of patients who have type 2 diabetes mellitus, or DM. Oral burning and symptoms consistent with glossodynia (burning mouth syndrome) may occur secondary to DN.

Case Description. A 54-year-old woman reported to a university dental clinic with a chief complaint of oral burning. No clinical signs were evident. Her medical history was positive for type 2 DM. The initial diagnosis was glossodynia, and she was evaluated with relevant blood studies, which indicated that her diabetes was not well-controlled. The patient was referred back to her physician, and her symptoms abated once her diabetic condition was under control.

Clinical Implications. It is important to consider DN within the differential diagnoses of patients who have symptoms consistent with glossodynia but have no clinical signs. Dentists are invaluable in ascertaining underlying systemic disease considerations in patients with oral symptomatology. Cooperation between dentists and physicians often is helpful and necessary in caring for patients who have uncontrolled type 2 DM and oral symptoms.




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A. Scala, L. Checchi, M. Montevecchi, I. Marini, and M.A. Giamberardino
UPDATE ON BURNING MOUTH SYNDROME: OVERVIEW AND PATIENT MANAGEMENT
Critical Reviews in Oral Biology & Medicine, July 1, 2003; 14(4): 275 - 291.
[Abstract] [Full Text] [PDF]


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