A case of migratory stomatitis in a young male patient: Management and differential diagnosis

Abstract

Migratory stomatitis (MS) is an uncommon inflammatory condition with unclarified etiology, which despite its benign nature, may raise concerns for patients and diagnostic difficulties for professionals. This case report aims to describe the clinical features of a patient who presented with MS in conjunction with benign migratory glossitis (BMG), and its diagnostic process and management. The patient, a 25-year-old man, sought diagnosis of an oral condition, with cyclic behavior, which had been causing him great discomfort for a year. The patient presented erythematous patches on his lower lips and right side of the buccal mucosa, surrounded by a slightly elevated halo with a concomitant classical picture of BMG. After analysis of his entire symptomatology, the diagnosis of MS associated with BMG was concluded. The patient received clear explanations and symptomatic treatment. The diagnosis of MS may be challenging, even to oral medicine practitioners, especially if it occurs alone. MS with concurrent manifestation of BMG may make the conditions easier to diagnose, but it does not exclude the need to apply a complete process of differential diagnosis to rule out other similar possibilities.

Migratory stomatitis in soft palate - case report

“…In this way, they may not be identified by patients or misdiagnosed by some professionals. 20 This article describes the case of a patient with geographic tongue and migratory stomatitis in the soft palate discovered in a routine examination.…”

Stress as worsening of the signs and symptoms of the geographic tongue during the COVID-19 pandemic: a pilot study

“…However, it has been shown that the tongue epithelium is continually renewed by proliferation, maturation, and apoptosis processes, which are partly controlled by the epidermal growth factor (EGF) [ 4 ]. Occasionally, lesions are found in other oral cavity places, called migratory stomatitis, geographic stomatitis, or ectopic GT [ 5 , 6 ]. Studies have shown a significant association between GT and fissured tongue (FT) [ 7 ].…”

“…As main symptoms, pain, burning sensation, and discomfort are occasionally reported by some individuals [ 3 , 6 , 18 ] and can be treated with mouthwashes containing anesthetic, and/or antihistamines, and/or topical corticosteroids [ 3 ].…”

COVID Tongue: Reports, Debate, and Scope for Research

“…In the case of symptomatic geographic tongue, the term of migratory stomatitis is used. 5 It is interesting to note that various studies on COVID-19 infection stated that geographic tongue is an oral presentation. The studies that documented tongue changes in the COVID-19 condition are listed in ►Table 1.…”