Glossitis can cause glossitis, which tends to be painful, smooth and shiny. Bacterial, viral or fungal infections can cause glossitis. "Candida" species are involved in median rhomboid glossitis. Syphilis is now relatively rare, but the tertiary stage can cause diffuse glossitis and atrophy of lingual papillae, termed "syphilitic glossitis", "luetic glossitis" or "atrophic glossitis of tertiary syphilis". It is caused by Treponema pallidum and is a sexually transmitted infection. Many conditions can cause glossitis via malnutrition or malabsorption, which creates the nutritional deficiencies described above, although other mechanisms may be involved in some of those conditions listed. A painful tongue may
American Board of Disaster Medicine Specialists (AAPS) commissioned an expert panel to undertake a scholarly review of the literature and survey the recognized experts in disaster management, emergency management, medical contingency planning, emergency medicine, public health, disaster behavioral health and military medicine to determine if such a unique body of knowledge and skills existed. By February 2004 it was determined that the majority of experts, supported by the available literature, agreed that there is a unique body of core knowledge and skills to define the specialty of Disaster Medicine and a broader body of knowledge needed by all healthcare practitioners responding to a disaster event.