Benign migratory glossitis or geographic tongue: an enigmatic oral lesion

Assimakopoulos, D.; Patrikakos, George; Fotika, Christina; Elisaf, Moses

doi:10.1016/s0002-9343(02)01379-7

Cited by 143 publications

(147 citation statements)

References 52 publications

Supporting

Mentioning

127

Contrasting

Unclassified

Order By: Relevance

“…This may explain the association between geographic tongue and fissured tongue. Moreover, the association between the two lesions may also, in part, be explained through their histopathologic aspect with tissue destruction and consequent scarring (25).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Aspects of the Oral Cavity in Patients with Psoriasis: An Initial Study and a Proposal of a New Evaluation Method

et al. 2013

View full text Add to dashboard Cite

The involvement of the oral cavity is rare but possible in patients with psoriasis. Most frequently different clinical entities are reported such as geographic tongue, fissures, angular cheilitis and ectopic geographic tongue. This interdisciplinary study was conducted by dermatologists in collaboration with dental hygienists on 22 patients with psoriasis. We examined 11 men and 11 women aged between 25 and 72 years during a period of 6 months. The involvement of the oral cavity was examined and a full photographic evaluation was carried out. A new assessment evaluation named Oral Psoriasis Area and Severity Index (OPASI) is proposed herein. The results obtained show the presence of oral lesions in 45.6% of the cases. This high involvement could be explained by the interdisciplinary nature of the study. We believe OPASI can be useful to assess the severity of lesions of the oral cavity, and may help to evaluate the response to therapy in relation to the Psoriasis Area and Severity Index (PASI) improvement.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Twenty-two patients who fulfilled the inclusion criteria were included in the study, I I men and I I women respectively, aged between 25 and 72 years (average age 53 years). The age of onset was 37 years in men and 40 in women (average age 38.5).…”

Section: Methodsmentioning

confidence: 99%

Clinical Aspects of the Oral Cavity in Patients with Psoriasis: An Initial Study and a Proposal of a New Evaluation Method

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Use of diphenhydramine, lidocaine rinse and sodium bicarbonate rinse has shown successful results in symptomatic cases of mild intensity. [16] If significant pain persists then use of topical and systemic antihistamines [17], Vitamin A acid therapy and systemic acitretin [17] systemic cyclosporine [18], topical corticosteroids [19], topical tacrolimus ointment [20] has been reported in the literature. In the present case medical intervention was planned as the tongue was symptomatic and use of 0.1% topical application of tacrolimus ointment was preferred and proved to be beneficial in relieving symptoms.…”

Section: Volume 6 Issue 4 -2017mentioning

confidence: 99%

Benign Migratory Glossitis: Report of a Rare Case with Review of Literature

Mehta¹

2017

JDHODT

View full text Add to dashboard Cite

Benign migratory glossitis or geographic tongue is an inflammatory lesion of unknown etiology and is characterized by loss of filiform papillae. Asymptomatic cases are more commonly seen, but symptomatic cases in children are rarely found. The aim of this paper is to report an uncommon case of symptomatic geographic tongue in a 3-year old male with a history of asthma and allergy and emphasize the importance of thorough intraoral examination to identify the condition and also to briefly review the literature.

show abstract

“…La prévalence de cette pathologie varie de 0,6 % à 6,8 % [1]. C'est une pathologie inflammatoire psoriasiforme généralement asymptomatique d'étiologie inconnue [2][3]. Elle se définit cliniquement par des lésions annulaires migratoires des faces dorsales et dorsolatérales de la langue.…”

Section: Introductionunclassified

“…Plus récemment, deux cas de LG symptomatique traité par tacrolimus local ont été décrits [2][3][4], dont l'un chez un enfant de 6 ans [4]. L'objectif de cette étude rétrospective était d'évaluer l'efficacité du tacrolimus dans le traitement des langues géo-graphiques algiques sur une série de dix patients.…”

Section: Introductionunclassified

Étude rétrospective de l’efficacité du Protopic® (tacrolimus) dans le traitement de la langue géographique algique

Haddad¹,

Boralévi

Catros³

et al. 2015

Med Buccale Chir Buccale

View full text Add to dashboard Cite

Résumé -Introduction :La langue géographique (LG) est le plus souvent asymptomatique. Quand elle est douloureuse, le traitement est mal codifié. L'objectif de cette étude est d'évaluer l'efficacité du tacrolimus topique appliqué sur les LG algiques. Matériels et méthodes : Il s'agit d'une étude de cohorte descriptive, rétrospective, menée dans le service d'odontologie du CHU de Bordeaux de janvier 2012 à novembre 2013. Les patients sont traités par tacrolimus 0,1 % en application locale 2 fois par jour pendant 1 mois. Le critère de jugement principal est une évaluation de la douleur avec une échelle numérique verbale (ENV) de 0 à 10 à J0 et à 1 mois. Résultats : Trente et un patients ont consulté pour une langue géographique (LG). Sur ces 31 patients, 17 avaient des brûlures de la langue. Sur ces 17, 12 avaient une douleur imputable à la LG. Sur ces 12, 10 ont été traités par tacrolimus. Lors de la consultation initiale, l'ENV était de 5,9 +/-1,87. L'évaluation à un mois a montré une amélioration significative de l'ENV, 1,6 +/-1,5 (p < 0,001). Aucun événement indésirable grave n'est rapporté, seule une douleur oesophagienne est mentionnée chez trois patients. Conclusion : L'utilisation du tacrolimus topique semble efficace et bien tolérée dans l'indication d'une LG algique. Cependant, un essai randomisé versus placebo serait nécessaire afin de pouvoir conclure avec certitude. Abstract -Introduction:Geographic tongue is usually an asymptomatic disorder. There is no symptomatic treatment evaluated with clinical trials. Our objective was to evaluate the efficiency of tacrolimus in painful Geographic Tongue (GT). Methods: A retrospective descriptive cohort study was performed in the Department of Odontology PQR at the CHU in Bordeaux from January 2012 to November 2013. Patients with painful GT were treated with 0.1% tacrolimus (Protopic) topically twice a day for one month. The primary endpoint was the evaluation of pain with a numerical pain scale (NPS) from 0 to 10 the first day and one month later. The secondary endpoints were the improvement of the quality of life and of eating . Results: Thirty-one patients with GT consulted during the period studied. Seventeen had a burned tongue sensation, five patients presented primitive glossodynia and twelve had painful GT. Ten patients were treated with tacrolimus topically. The average value of the NPS was 5,9 (+/-1.87) at the first consultation. The GT lesions were present in all cases. Eating difficulties or a burned tongue sensation were described by patients. The evaluation one month after the prescription of Protopic showed a significant improvement of the NPS, with an average of 1,6 (+/-1.5) (t-test, p<0.001%). An improvement of the quality of life was noted for all patients. No serious adverse events were reported except esophagus pain for three patients. Conclusions: The utilization of topical tacrolimus seems to be efficient and well-tolerated in painful GT. However, randomized trials versus placebo are necessary to conclude with certitude.

show abstract

Benign migratory glossitis or geographic tongue: an enigmatic oral lesion

Cited by 143 publications

References 52 publications

Clinical Aspects of the Oral Cavity in Patients with Psoriasis: An Initial Study and a Proposal of a New Evaluation Method

Clinical Aspects of the Oral Cavity in Patients with Psoriasis: An Initial Study and a Proposal of a New Evaluation Method

Benign Migratory Glossitis: Report of a Rare Case with Review of Literature

Étude rétrospective de l’efficacité du Protopic® (tacrolimus) dans le traitement de la langue géographique algique

Contact Info

Product

Resources

About