GEOGRAPHICAL TONGUE INTRODUCTION/DEFINITION:
Geographic tongue is a multifocal, Pathy irregular area of depapillation of tongue characterized frequent remissions and recurrences
GEOGRAPHICAL TONGUE CAUSES:
The exact etiology of geographic tongue not known, Patient often have a positive family history of similar problem. However many investigators believe that emotional stress may precipitate this condition.
GEOGRAPHICAL TONGUE PATHOPHYSIOLOGY:
Geographic tongue has been reported with increased frequency in patients with psoriasis and in patients with fissured tongue.
GEOGRAPHICAL TONGUE SYMPTOMS:
- It can be seen among children as well adult and there is a slight female predilection Geography tongue clinical presents multiple irregular, well demarcated, patchy erythematous areas on the dorsum of the tongue with desquamation of the filiform papilla.
- At the periphery, these lesion often surrounded by a well-defined, slightly raised, yellowish white, serpiginous line.
- Geographic tongue mostly a painless, asymptomatic condition, However in few occasions it may produce soreness or burning sensation (Glossodynia).
GEOGRAPHICAL TONGUE DIAGNOSIS/INVESTIGATIONS:
Histopathology: Geographic tongue microscopically shows hyperparakeratinization of the covering epithelium of tongue with loss of filiform papilla.
- Intercellular edema and accumulation of neutrophil polymorphs is seen.
- Mild inflammatory cell infiltration is present in the underlying connective tissue.
GEOGRAPHICAL TONGUE TREATMENT:
There is no specific treatment for geographic tongue. Heavy doses of vitamin may produce some results in few cases.