Tongue

Geographic Tongue

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Geographic Tongue, Migratory Glossitis, Benign Migratory Glossitis, Glossitis Areata Exfoliativa, Glossitis Areata Migrans, Erythema Migrans of the Dorsal Tongue

  • Epidemiology
  1. Prevalence: 1-2% in U.S. (common)
  • Pathophysiology
  1. Benign condition
  2. No good evidence that is associate with other conditions (e.g. atopy, diabetes, Psoriasis)
  3. Unclear etiology
  • Symptoms
  1. Asymptomatic in most cases
  2. Burning may occur with spicy foods
  • Signs
  1. Scattered bright red areas (bare patches) on Tongue dorsum
    1. Denuded of papillae, smooth (filiform atrophy)
    2. Map-like pattern on dorsal or lateral Tongue
  2. Surrounded by light yellow or white elevated rings
  3. Pattern changes within days
  • Associated Conditions
  • Management
  • Symptomatic lesions
  1. No treatment is uniformly effective
  2. Treatments that have been tried
    1. Topical Corticosteroids
    2. Zinc supplementation
    3. Topical anesthetics
  3. Tongue sensitivity may respond to Topical Steroid gel or Antihistamine rinse