Burning mouth syndrome: results of screening tests for vitamin and mineral deficiencies, thyroid hormone, and glucose levels—experience at Mayo Clinic over a decade

Claudia S. Morr Verenzuela, Mark D.P. Davis, Alison Bruce, Rochelle R. Torgerson

Research output: Contribution to journalArticle

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Abstract

Background: Burning mouth syndrome (BMS) is a disorder characterized by chronic mouth pain in the absence of objective clinical abnormalities. Vitamin or mineral deficiencies may have a role in BMS, but data regarding the prevalence and relevance of hematinic deficiencies are conflicting. We aimed to determine the frequency of specific laboratory abnormalities in patients with BMS. Methods: We retrospectively reviewed the results of screening blood tests in patients with BMS at our institution between January 2003 and December 2013. Results: Among 659 patients with BMS, the most common decreased values or deficiencies were vitamin D3 (15%), vitamin B2 (15%), vitamin B6 (5.7%), zinc (5.7%), vitamin B1 (5.3%), thyrotropin (TSH) (3.2%), vitamin B12 (0.8%), and folic acid (0.7%). Laboratory values for fasting blood glucose and TSH were increased in 23.7% and 5.2%, respectively. Conclusions: In patients with symptoms of BMS, our results suggest it is reasonable to screen for fasting blood glucose, vitamin D (D2 and D3), vitamin B6, zinc, vitamin B1, and TSH. Deficiencies of vitamin B12 and folic acid were rare (<1% abnormal).

Original languageEnglish (US)
Pages (from-to)952-956
Number of pages5
JournalInternational Journal of Dermatology
Volume56
Issue number9
DOIs
StatePublished - Sep 1 2017

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Burning Mouth Syndrome
Avitaminosis
Thyroid Hormones
Minerals
Glucose
Vitamin B 6
Cholecalciferol
Thiamine
Folic Acid
Blood Glucose
Zinc
Fasting
Hematinics
Ergocalciferols
Vitamin B 12 Deficiency
Riboflavin
Hematologic Tests
Thyrotropin
Vitamin B 12
Vitamin D

ASJC Scopus subject areas

  • Dermatology

Cite this

Burning mouth syndrome : results of screening tests for vitamin and mineral deficiencies, thyroid hormone, and glucose levels—experience at Mayo Clinic over a decade. / Morr Verenzuela, Claudia S.; Davis, Mark D.P.; Bruce, Alison; Torgerson, Rochelle R.

In: International Journal of Dermatology, Vol. 56, No. 9, 01.09.2017, p. 952-956.

Research output: Contribution to journalArticle

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abstract = "Background: Burning mouth syndrome (BMS) is a disorder characterized by chronic mouth pain in the absence of objective clinical abnormalities. Vitamin or mineral deficiencies may have a role in BMS, but data regarding the prevalence and relevance of hematinic deficiencies are conflicting. We aimed to determine the frequency of specific laboratory abnormalities in patients with BMS. Methods: We retrospectively reviewed the results of screening blood tests in patients with BMS at our institution between January 2003 and December 2013. Results: Among 659 patients with BMS, the most common decreased values or deficiencies were vitamin D3 (15{\%}), vitamin B2 (15{\%}), vitamin B6 (5.7{\%}), zinc (5.7{\%}), vitamin B1 (5.3{\%}), thyrotropin (TSH) (3.2{\%}), vitamin B12 (0.8{\%}), and folic acid (0.7{\%}). Laboratory values for fasting blood glucose and TSH were increased in 23.7{\%} and 5.2{\%}, respectively. Conclusions: In patients with symptoms of BMS, our results suggest it is reasonable to screen for fasting blood glucose, vitamin D (D2 and D3), vitamin B6, zinc, vitamin B1, and TSH. Deficiencies of vitamin B12 and folic acid were rare (<1{\%} abnormal).",
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