Geographic
tongue
Other
names:
Erythema
Migrans, Benign Migratory Glossitis, Erythema Areata Migrans, Stomatitis Areata
Migrans
Wandering
Rash, Glossitis Areata Exfoliativa , Lingua Geographica, Transitory Benign
Plaques Of The Tongue , Dorsal surface of the tongue
It
is categorized as a chronic inflammatory condition of the tongue characterized by
small patches disappear and reappear in a short period of time (hours or days),
change in shape or size. the lesions appear as annular, circinate, or
serpiginous along with slightly depressed atrophic centers (devoid of filiform
papillae) and raised grayish white borders. Co-existence of fissures may also be
present. Burning sensation occurs when tongue comes in contact with tomato,
cheese, mouth rinses etc. Whitish/yellow discoloration of the tongue is
frequently due to a yeast infection
Main
etiological factors responsible are : environmental sensitivity-asthma,
allergies, stress, smoking , harmonal changes-pre-mensturation, pregnancy, vitamin
deficiency
Histopathology:
Irregular areas of dekeratinized and desquamated filiform
papillae (red in color) are surrounded by elevated whitish or yellow
margins due to acantholysis and hyperkeratosis. Neutrophils migrate into the
epithelial layer, creating what are termed Munoros
abscesses.
It is linked with psoriasis on the basis of presence of these
abscesses. However, both the entities
are different.
Treatment:
Remove
known etiology
Smear
for detection of candida; apply candid solution
Steroid
application-Triamcinolone
Acetonide Dental Paste USP,0.1%
Vit
B supplements
Zincum
Gluconium 2x, 13.3 mg-Cold-Eeze -Relieves in 2 days (homeopathic)
Chewing
mint leaves/ candies
