I have white scaling that comes on and off on tongue. What can it be?

Question

Hi doctor,

I am 56 year old and having problem of white scaling on side of tongue and also on top of the tongue. I got tested for fungal growth and it was negative. This problem is there since one year. I have consulted many doctors in regard to the same. They asked me to take extra care of hygiene. Please advise me because I am not getting relief. White scaling comes on and off. I use to brush morning and night. What it could be?

Answer 1

Hello,

Welcome to icliniq.com.

Thanks for choosing this platform. I can understand your concern. As per your query, you have white scaling on side of your tongue and slightly on top of your tongue. Since you have tested negative for candidiasis/thrush (fungal growth) next possibilities are lichen planus and psoriasis. It can be leukoplakia also but chances are less. Because leukoplakia is non scrapable and it does not go away by its own. Without examination it is difficult to tell. So, I will suggest you to consult a dermatologist or specialist in oral medicine and radiology for physical evaluation of your lesion.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen your photographs and reports (attachments removed to protect patient identity). Most probably it is lichen planus. It is an immune response of unknown origin. Oral lesions in lichen planus may be asymptomatic or may be painful. I would suggest you to take tablet Hydroxychloroquine (HCQS) 200 mg one in morning and one at night for a week after consultation with a dermatologist, because this drug can have side effect. If there is no response after a week, I would suggest you to have biopsy of the lesion.

I have white scaling that comes on and off on tongue. What can it be?

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