Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Geographic Tongue Treatment & Management

  • Author: Robert D Kelsch, DMD; Chief Editor: William D James, MD  more...
 
Updated: Jun 24, 2016
 

Medical Care

No medical intervention is required because the lesion is benign and most often asymptomatic.[19] However, Abe et al report successful treatment with cyclosporin,[20] and Sigal and Mock reported treatment with topical and systemic antihistamines.[21] Topical retinoids and topical corticosteroids are occasionally of benefit. In psoriatic patients, the lesions may resolve during systemic therapy for the psoriasis.

Next

Consultations

Consultation with an oral pathologist is indicated if a question exists about the diagnosis.

Previous
 
Contributor Information and Disclosures
Author

Robert D Kelsch, DMD Attending, Department of Dental Medicine, Division of Oral Pathology, Northwell Health System, Long Island Jewish Medical Center

Robert D Kelsch, DMD is a member of the following medical societies: American Academy of Oral and Maxillofacial Pathology, American Dental Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard P Vinson, MD Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Texas Medical Association, Association of Military Dermatologists, Texas Dermatological Society

Disclosure: Nothing to disclose.

Drore Eisen, MD, DDS Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati

Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, American Dental Association

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Abdul-Ghani Kibbi, MD Professor and Chair, Department of Dermatology, American University of Beirut Medical Center, Lebanon

Disclosure: Nothing to disclose.

References
  1. Kleinman DV, Swango PA, Pindborg JJ. Epidemiology of oral mucosal lesions in United States schoolchildren: 1986-87. Community Dent Oral Epidemiol. 1994 Aug. 22(4):243-53. [Medline].

  2. Shulman JD. Prevalence of oral mucosal lesions in children and youths in the USA. Int J Paediatr Dent. 2005 Mar. 15(2):89-97. [Medline].

  3. Cambiaghi S, Colonna C, Cavalli R. Geographic tongue in two children with nonpustular psoriasis. Pediatr Dermatol. 2005 Jan-Feb. 22(1):83-5. [Medline].

  4. Zargari O. The prevalence and significance of fissured tongue and geographical tongue in psoriatic patients. Clin Exp Dermatol. 2006 Mar. 31(2):192-5. [Medline].

  5. Zhu JF, Kaminski MJ, Pulitzer DR, Hu J, Thomas HF. Psoriasis: pathophysiology and oral manifestations. Oral Dis. 1996 Jun. 2(2):135-44. [Medline].

  6. Costa SC, Hirota SK, Takahashi MD, Andrade H Jr, Migliari DA. Oral lesions in 166 patients with cutaneous psoriasis: a controlled study. Med Oral Patol Oral Cir Bucal. 2009 Aug 1. 14(8):e371-5. [Medline].

  7. Hernandez-Perez F, Jaimes-Aveldanez A, Urquizo-Ruvalcaba Mde L, et al. Prevalence of oral lesions in patients with psoriasis. Med Oral Patol Oral Cir Bucal. 2008 Nov 1. 13(11):E703-8. [Medline].

  8. Shulman JD, Carpenter WM. Prevalence and risk factors associated with geographic tongue among US adults. Oral Dis. 2006 Jul. 12(4):381-6. [Medline].

  9. Yarom N, Cantony U, Gorsky M. Prevalence of fissured tongue, geographic tongue and median rhomboid glossitis among Israeli adults of different ethnic origins. Dermatology. 2004. 209(2):88-94. [Medline].

  10. Dar-Odeh NS, Hayajneh WA, Abu-Hammad OA, et al. Orofacial findings in chronic granulomatous disease: report of twelve patients and review of the literature. BMC Res Notes. 2010 Feb 17. 3(1):37. [Medline]. [Full Text].

  11. Gonzaga HF, Torres EA, Alchorne MM, Gerbase-Delima M. Both psoriasis and benign migratory glossitis are associated with HLA-Cw6. Br J Dermatol. 1996 Sep. 135(3):368-70. [Medline].

  12. Fenerli A, Papanicolaou S, Papanicolaou M, Laskaris G. Histocompatibility antigens and geographic tongue. Oral Surg Oral Med Oral Pathol. 1993 Oct. 76(4):476-9. [Medline].

  13. Jainkittivong A, Langlais RP. Geographic tongue: clinical characteristics of 188 cases. J Contemp Dent Pract. 2005 Feb 15. 6(1):123-35. [Medline].

  14. Borrie F, Musthyala R, Macintyre D. Ectopic geographic tongue--a case report. Dent Update. 2007 Mar. 34(2):121-2. [Medline].

  15. Morris LF, Phillips CM, Binnie WH, Sander HM, Silverman AK, Menter MA. Oral lesions in patients with psoriasis: a controlled study. Cutis. 1992 May. 49(5):339-44. [Medline].

  16. Eidelman E, Chosack A, Cohen T. Scrotal tongue and geographic tongue: polygenic and associated traits. Oral Surg Oral Med Oral Pathol. 1976 Nov. 42(5):591-6. [Medline].

  17. Alikhani M, Khalighinejad N, Ghalaiani P, Khaleghi MA, Askari E, Gorsky M. Immunologic and psychologic parameters associated with geographic tongue. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Jul. 118 (1):68-71. [Medline].

  18. Assimakopoulos D, Patrikakos G, Fotika C, Elisaf M. Benign migratory glossitis or geographic tongue: an enigmatic oral lesion. Am J Med. 2002 Dec 15. 113(9):751-5. [Medline].

  19. Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010 Mar 1. 81(5):627-34. [Medline].

  20. Abe M, Sogabe Y, Syuto T, Ishibuchi H, Yokoyama Y, Ishikawa O. Successful treatment with cyclosporin administration for persistent benign migratory glossitis. J Dermatol. 2007 May. 34(5):340-3. [Medline].

  21. Sigal MJ, Mock D. Symptomatic benign migratory glossitis: report of two cases and literature review. Pediatr Dent. 1992 Nov-Dec. 14(6):392-6. [Medline].

Previous
Next
 
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.