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All Journal e-Journal Pustaka Kesehatan STOMATOGNATIC- Jurnal Kedokteran Gigi ODONTO Dental Journal Dental Journal (Majalah Kedokteran Gigi) Health Notions Journal of Dentomaxillofacial Science Indonesian Journal of Life Sciences Denta: Jurnal Kedokteran Gigi Odonto dental journal
Erna Sulistyani
Fakultas Kedokteran Gigi Universitas Jember
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Median rhomboid glossitis as a sign of undiagnosed diabetes mellitus - a case report Sulistyani, Erna; Triwahyuni, Iin Eliana; Astuti, Pudji; Swandari, Rindang
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 Adik Wulandari Agustin, Merry Ayu Ayu Ainunnusak Ayuningtyas Andriani, Hilma Annisa Syifa M. Atik Kurniawati, Atik Bilqis P. Safitri Budi Yuwono Dani Agam Rahmadianto Dewi, Leni Rokhma Dwi Prijatmoko Enti Isnarni Enti Isnarni, Enti Futaihana, Hasna' Garaniva Gayuh Setyawan Gayuh Setyawan, Gayuh Hafizh, Cinantya Handayani, Ari T.W. Happy Harmono Hasna' Fakhriyah J. Herniyati Herniyati Herniyati Hesty Kumala Sari Iin Eliana Triwahyuni Khairunnisa, Luthfitah Zahra Leliana S. Devi Leliana Sandra Devi Ade Putri Lisa Miftakhul Janna Lutfi Lailia Sofidiana Mayangsari, Zahra Muchamad Ziyad Afif Nihla Fitriyani Nur Lely Yaumil Qodriyati Perwitasuci, Brigitta Damai Prameswari, Syefira Putri Prihanti, Ayu Mahartini PUDJI ASTUTI Pujiana Endah Lestari Riclas Yusuf Punta Wibisono Rina Sutjiati Rina Sutjiatu Roedy Budirahardjo Rudi Joelijanto Rudy Joealijanto Saikha Adila Azzah Sholehah, Almaratus Sulistyani Sulistyani Swandari, Rindang Syahrani, Nafila Wulandari, Widya Nurfitriastuti Zahreni Hamzah