While snooping around in the mouthpiece of a affected role , Doctor in Singapore were confronted with a surprising symptom : a silky smooth clapper , on the face of it   without any taste buds .

As reported inThe New England Journal of Medicine , the 64 - year - old man came to the hospital saying he had been suffer from a painful spit and burning sentience around his lip for six months . A physical examination reveal that the gentleman had “ an atrophic , erythematous clapper with red ink of the linguistic papillae , ” which is science - speak for an inflame red clapper and a loss of taste bud .

His blood mental test come back comparatively normal , except for extremely low levels of vitamin B12 . Avitamin B12 deficiency can occur for a act of reasons . It can once in a while come up   due to a lack of the vitamin in your dieting , however , the most vernacular cause is pernicious anaemia , a condition where your resistant system attacks healthy cells in your own stomach , preventing your body from absorbing vitamin B12 from the food you use up . The doctors made a diagnosing of perniciousanemiaby detecting gamey levels of   autoantibodies ( a form of antibody that target the body ’s own proteins ) in the military personnel ’s blood , which suggested his   resistant organisation was push an flack on his own proteins .

Vitamin B12 is involved in the metabolism of every cell of the human trunk and in the development of red pedigree cells . If you have a inadequacy of this vitamin , then your body struggle to make enough goodly ruby blood cells . Typically , a deficiency in vitamin B12 will head to headaches , weakness , weight passing , and bureau pain .

A sore and inflamed tongue is also a amazingly usual red pin for the condition . It ’s unclear why tongues seem to be so affected by the deficiency , however , it hasbeen previously notedthat the unwritten mucous membrane , the mucous membrane lining the inside of the mouth , is especially sensitive to a deficiency of vitamin B12 . It appears that the smooth show of the tongue is really a result of inflammation , which has blown up the tongue like a balloon and create the impression that the bobbly preference buds have disappeared .

Fortunately , the homo ’s glossa is now back to normal , predilection bud and all . However , due to his ailment , he has to receive monthly injectant of vitamin B12 .