Which tongue finding may be observed in Down syndrome?

• A. Fissured tongue
• B. Glossitis
• C. Ankyloglossia
• D. No tongue abnormalities

Answer: (A)

In Down syndrome, certain oral features are more commonly observed, and among these options the fissured tongue best fits that pattern. A fissured tongue shows grooves or fissures on the top surface of the tongue, a benign finding that can be more noticeable in individuals with Down syndrome due to underlying developmental differences. Glossitis would imply tongue inflammation with redness and swelling, which isn’t a characteristic trait of Down syndrome itself. Ankyloglossia, or tongue-tie, involves a short lingual frenulum that restricts movement, and is not a hallmark feature of Down syndrome. Saying there are no tongue abnormalities would miss a recognized tongue finding in this population. Therefore, fissured tongue is the most appropriate choice.