The Clinical Study of the Atrophic Tongue
Authors: WILLIAM S. MIDDLETON
Journal: Annals of Internal Medicine (1932)

Article1 September 1932The Clinical Study of the Atrophic TongueWILLIAM S. MIDDLETON, M.D., F.A.C.P.WILLIAM S. MIDDLETON, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-6-3-352 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe bald tongue has been recognized for many years by clinicians. Its association with anemia was probably first appreciated in 1846 by Dawson.1In 1909 William Hunter2concluded an argument for the infectious origin of the glossitic, gastric and intestinal lesions of pernicious anemia with the statement "that the most important of these sign-posts (glossitic) is the one which can be earliest recognized and kept in sight from the first to the last". The strength of this position was universally conceded by students of the subject; but renewed interest in and attention to the close scrutiny of the tongue in...References1 DAWSON J: Thoughts on the tongue as an element in diagnosis, West. Jr. Med. and Surg., 1846, vi(n.s.), 277-298. Google Scholar2 HUNTER W: Severest anaemias; their infective nature, diagnosis and treatment, 1909, Macmillan & Co., London, i, 114. Google Scholar3 OATWAYMIDDLETON WHWS: The correlation of lingual changes with other clinical data, Arch. Int. Med., 1932, xlix, 860-876. CrossrefGoogle Scholar4 ISAACSSTURGISSMITH RCCM: Tapeworm anemia, Arch. Int. Med., 1928, xlii, 313-321. CrossrefGoogle Scholar5 MINOTMURPHY GWWP: A diet rich in liver in the treatment of pernicious anemia; study of 105 cases, Jr. Am. Med. Assoc., 1927, lxxxix, 759-766. CrossrefGoogle Scholar6 ISAACS R: Systemic relapses during liver induced hematopoietic remissions in pernicious anemia, Am. Jr. Med. Sci., 1928, clxxviii, 500-505. 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Google Scholar23 LEWIS GE: The smooth tongue; a study of deficiency disease, Practitioner, 1930, cxxv, 749-755. Google Scholar24 MEULENGRACHT E: Pernicious anemia in intestinal stricture (with one liver-treated case), Acta med. Scandinav., 1929, lxxii, 231-240. Google Scholar25 SCHNEIDERCAREY JPJB: The clinical significance of primary achlorhydria, Jr. Am. Med. Assoc., 1928, xci, 1763-1768. CrossrefGoogle Scholar26 WILKINSONOLIVER JFTH: Some clinical conditions associated with achlorhydria, Lancet, 1931, i, 66-71. CrossrefGoogle Scholar27 CASTLEHEATHSTRAUSSTOWNSEND WBCMBWC: The relationship of disorders of the digestive tract to anemia, Jr. Am. Med. Assoc., 1931, xcvii, 904-907. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: WILLIAM S. MIDDLETON, M.D., F.A.C.P.Affiliations: Madison, WisconsinPresented at the San Francisco Meeting of the American College of Physicians, April 4, 1932.From the Department of Medicine, University of Wisconsin. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTongue Biopsies in Various Clinical ConditionsObservations on the exfoliative cytology and histology of the oral mucous membranes in iron deficiencyDeficiency glossitisThe precancerous mouth lesions of avitaminosis BAMERICAN PUBLIC HEALTH ASSOCIATION 1937-1938 1 September 1932Volume 6, Issue 3Page: 352-361KeywordsLesionsPernicious anemiaTongue ePublished: 1 December 2008 Issue Published: 1 September 1932 PDF downloadLoading ...