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Smulevich A.B.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Lvov A.N.

Central State Medical Academy Department for Presidential Affairs of the Russian Federation;
Medical Research and Education Center of Lomonosov Moscow State University

Yuzbashyan P.G.

Sechenov First Moscow State Medical University (Sechenov University)

Tereshchenko A.V.

Kaluga branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Michenko A.V.

Central State Medical Academy Department for Presidential Affairs of the Russian Federation;
Medical Research and Education Center of Lomonosov Moscow State University

Bobko S.I.

Moscow Scientific and Practical Center of Dermatology, Venereology and Cosmetology of Moscow City Health Department

Voronova E.I.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Romanov D.V.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Glossalgia as a psychodermatological syndrome

Authors:

Smulevich A.B., Lvov A.N., Yuzbashyan P.G., Tereshchenko A.V., Michenko A.V., Bobko S.I., Voronova E.I., Romanov D.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(7): 7‑13

DOI: 10.17116/jnevro20211210717

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Table of contents

GLOSSALGIA AS A PSYCHODERMATOLOGICAL SYNDROME
GLOSSALGIA AS A PSYCHODERMATOLOGICAL SYNDROME

To cite this article:

Smulevich AB, Lvov AN, Yuzbashyan PG, et al. . Glossalgia as a psychodermatological syndrome. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(7):7‑13. (In Russ.)
https://doi.org/10.17116/jnevro20211210717

 
Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
МСФ на ЯМ
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OBJECTIVE

To study clinical characteristics of burning mouth syndrome or glossalgia is a functional disorder with painful sensations in the oral cavity with verification of the psychopathological structure, typology and nosology of the syndrome within the continuum of neurotic/psychotic disorders and dermatological pathology, i.e. lichen planus (LP).

MATERIAL AND METHODS

The study sample (n=30, 27 female, mean age 59.3±15.6 years) was examined by dermatologist, neurologist and psychiatrist both clinically and psychometrically. The patients met the diagnostic criteria for glossalgia according to the IASP classification and ICD-10 for glossodynia (code K14.6). In 7 subjects, there was comorbidity with LP of the oral mucosa.

RESULTS

The psychopathological picture of glossalgia syndrome has a binary structure. Basic coenesthesiopathies, ranging in severity from homonomous sensations (isteralgias) to heteronomic sensopathies (senestopathies, senesthesia), are associated with secondary hypochondriacal phenomena: from health anxiety and monopatophobia to mastery of ideas and somatopsychic confusion, respectively. According to the psychopathological register (neurotic/psychotic) and the fact of objective verification of a dermatological disease (hypochondria sine materia/cum materia), there are three types of glossalgic syndrome: 1) organo-neurotic; 2) somatopsychotic; 3) dermatological (stress-induced somatic reactions).

CONCLUSION

BMS is a local syndrome limited to the oral cavity, however, in fact, it covers the entire clinical spectrum of psychosomatic pathology from mental diseases to psychodermatological ones.

Keywords:

glossalgia
oral lichen planus
somatoform disorders
hypochondria

Authors:

Smulevich A.B.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Lvov A.N.

Central State Medical Academy Department for Presidential Affairs of the Russian Federation;
Medical Research and Education Center of Lomonosov Moscow State University

Yuzbashyan P.G.

Sechenov First Moscow State Medical University (Sechenov University)

Tereshchenko A.V.

Kaluga branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Michenko A.V.

Central State Medical Academy Department for Presidential Affairs of the Russian Federation;
Medical Research and Education Center of Lomonosov Moscow State University

Bobko S.I.

Moscow Scientific and Practical Center of Dermatology, Venereology and Cosmetology of Moscow City Health Department

Voronova E.I.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Romanov D.V.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Received:

03.11.2020

Accepted:

01.03.2021

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