An Intriguing Case of Ectopic Benign Migratory Glossitis Resembling Secondary Syphilis: A Case Report

Abstract

Oral mucosal lesions presenting as erythematous patches usually pose difficulties for a clinical diagnosis. They elicit an array of differential diagnosis that mainly includes oral candidosis, contact mucosal reaction, oral lichenoid lesion, oral psoriasiform, autoimmune disease, and, not to forget, secondary syphilis. In this present case, all those above-mentioned possibilities were ruled out, while secondary syphilis stood as the main diagnosis. As this was also later excluded by a negative serological treponemal test, the final diagnosis rested on an ectopic manifestation of benign migratory glossitis (BMG), whose diagnosis was based on the clinical aspects of the lesions, along with their spontaneous disappearance in a short period of time (a hallmark of this condition) and the presence of fissured tongue, a manifestation that occurs very often in concomitance with BMG.

Migratory stomatitis in soft palate - case report

“…Despite its very characteristic clinical appearance, dentists must exclude other diagnostic hypotheses during patient examination, such as: reticular lichen planus, psoriasis and pseudomembranous candidosis, lichenoid reactions and secondary syphilis. 24 In this way, the patient's skin was examined and a complete anamnesis of the health status was performed to exclude the above mentioned conditions.…”