White plaque on the tongue in helminthic invasions is a common symptom that can be revealed not only by the doctors, but also by the patients themselves. In some cases, this may be the only clinical indication indicating helminthiasis. Only a detailed survey will help to identify the true cause of the changes in the language.
The appearance of such a symptom is due to the active multiplication of pathogens living in the oral cavity. The activation of this process is due to a violation of immunity against the background of helminthic invasion. The latter is characterized by eosinophilia( an increase in the level of eosinophils in the blood), leading to the inhibition of the remaining germs of the hematopoiesis - neutrophil and lymphocytic.
Eosinophilia is a typical sign of worms, on the basis of which the doctor can prescribe helminthiasis according to the results of the general clinical analysis of blood. As a rule, for a long time, specific symptoms of the disease are absent, and the patient does not consult a doctor, and the immune shifts in the body progress. They initiate the beginning of active reproduction of opportunistic bacteria and oral fungi.
In many ways, the appearance of a plaque in the language of worms occurs due to the activation of Candida. These fungi have a favorite localization of lesions - a multilayered flat epithelium. It covers the oral mucosa, incl.and language. Such tropism is explained by the fact that epithelial cells contain a lot of glycogen, formed from glucose. Carbohydrates are an integral component of the life of Candide. That's why when worms are recommended to reduce, it is better to completely abandon the sweet. This will help create inappropriate conditions not only for worms, but also for Candida, which are activated again for helminthiasis. On the one hand, the restriction of sweet will reduce the severity of the symptoms of worms in the language, and on the other - open the vicious circle.
This is the next process. Candidiasis and its particular case - glossitis( defeat of the tongue) provokes disorders in the digestive system, and they create conditions for more intensive reproduction of worms. As a result, the course of stomatitis, which is manifested by a white bloom on the tongue, is further aggravated. It is only antihelminthic drugs that can break this circle. No antimycotics( antifungal agents) can cope with this symptomatology. It will appear again and again against the background of their application, becausethe cause( worms) will not be eliminated.
In some cases, worms can be so active that not only plaque appears on the tongue, but also erosive-ulcerous surfaces. Outside they are covered with white films, the removal of which leads to slight bleeding. At the heart of the ongoing events - excessive activation of Candida on the background of pronounced suppression of immunity. In this case, a combined treatment is required - anthelmintic and antifungal. Simultaneously, the course of immunomodulation( under the control of the immunogram) may be required.
Such aggressive course of helminthic invasion with the formation of plaque and ulcers in the tongue is observed in patients with certain diseases:
- Diabetes mellitus
- HIV infection
- Tumors of the hematopoietic system
- Digestive system diseases, especially peptic ulcer.
Some drugs are also capable of initiating a severe course of worm infection caused by drug-induced immunosuppression. This applies to corticosteroids and cytostatics. Similarly, the occurrence of symptoms in the language caused by helminths affects the frequent radiographic examination. Therefore, radiography in medical practice is made according to strict indications.