DefinitionThis section has been translated automatically.
Self-limiting, chronic-exfoliative, superficial epithelial detachments migrating through the mucous membrane of the tongue, which form into anular or polycyclic figures ("wandering rash; wandering plaques").
Occurrence/EpidemiologyThis section has been translated automatically.
In dental collectives, prevalences between 0.6 and 9.8% are reported. Other prevalence figures are given as 1 - 3%. No established gender preference.
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EtiopathogenesisThis section has been translated automatically.
Unsolved. Gastric anaemia, gastritis, nutritive factors as well as psychogenic, neurohumoral and genetic factors are discussed.
Combination with lingua plicata is frequent. Versch. Authors regard the migrating plaques as a precursor stage of lingua plicata.
Glossitis mediana rhombica is considered to be a variant of the migrating plaques.
Also in cases of streptococcal infections or candida infections.
Commonly occurring in patients with psoriasis(Psoriasis pustulosa - Dreyer LN et al. 2012).
It is not uncommon for migrating plaques to be observed as side effects of oral toxicity of tyrosine kinase inhibitors .
ManifestationThis section has been translated automatically.
For toddlers, teenagers and young adults.
Clinical featuresThis section has been translated automatically.
Migrating exfoliation of the upper epithelial layer of the mucous membrane of the tongue. This leads to anular, garland-shaped or map-shaped, plaque free (rejection of the hypertrophic papillae of the tongue surface), deep red (naked) plaques which are bordered by a raised and whitish swollen, ragged rim. After several months of latency the rejected papillae regenerate again. The tongue surface appears normal again. Possibly tongue burning. It is not uncommon for the lingua geographica to be associated with a lingua plicata.
HistologyThis section has been translated automatically.
Epithelial narrowing in the centre of the flock, epithelial widening in the peripheral area. Edema, inflammatory cell infiltrates with numerous epitheliotropic neutrophil granulocytes, more rarely spongiform pustules are detectable; loss of elastic fibres.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
Progression/forecastThis section has been translated automatically.
Although harmless, the disease is extremely annoying and characterized by occasional tongue burning. Spontaneous healings are frequent, lifelong persistence is possible.
LiteratureThis section has been translated automatically.
- Ching V et al (2012) Increased prevalence of geographic tongue in burning mouth complaints: a retrospective study. Oral Surgery Oral Med Oral Catholic Oral Radiol 114:444-448
- Dreyer LN et al (2012) Oral manifestations of psoriasis. Clinical presentation and management. N Y State Dent J 78:14-18
- Gupta T et al (2014) Medical image. A benign glossal lesion. Geographic tongue.N Z Med J 127:88-90
- Pass B et al (2005) Geographic tongue: literature review and casereports. Dent Today 54: 56-57
- Sibaud V et al (2014) Oral toxicity of targeted anticancer therapies. Ann Dermatol Venereol 141:354-363
- Tarakji B et al.(2014) Relation between psoriasis and geographic tongue. J Clin Diagn Res 8: ZE06-07
Incoming links (17)Dexpanthenol solution 5% (nrf 7.3.); Exfoliatio linguae et mucosae oris; Exfoliation areata dolorosa; Exfoliative linguae et mucosa oris; Exfoliatives areata dolorosa; Exudative glossitis areata; Glossary; Glossitis exfoliativa marginata; Glossitis geographica; Glossitis migrans; ... Show all
Outgoing links (8)Dexpanthenol; Dexpanthenol solution 5% (nrf 7.3.); Glossitis; Glossitis rhombica mediana; Lingua plicata; Psoriasis pustulosa (overview); Pustular psoriasis; Tyrosine kinase inhibitors;
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