Geographic tongue

Jacob, Ceena Neena; John, Teny M.; Jayaprakash, R.

doi:10.3949/ccjm.83a.14011

Cited by 9 publications

(8 citation statements)

References 2 publications

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“…14 , our everyday clinical experience showed that GT has been most commonly misdiagnosed only as Candida infections. In acute pseudomembranous candidiasis, white to whitishyellow creamy confluent plaques are present, but these plaques, unlike the yellowish borders of GT can be easily removed, leaving an underlying erythematous and occasionally bleeding surface 14 . Additionally, this form of acute candida infection is associated with disturbed immunity-diabetes, pregnancy, usage of antibiotics or corticosteroids, hematological patients etc.…”

Section: Discussionmentioning

confidence: 99%

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Geographic tongue: Does Candida play a role in its pathogenesis

Petrović¹,

Đorđević²,

Radunović³

et al. 2019

Balkan J Dent Med

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Background/Aim: Geographic tongue (GT), a benign self-limiting condition (inflammation) is commonly seen in practice. Although quite easy for clinical diagnosis, in clinical practice it is commonly misdiagnosed and treated as Candida infection. The main aim of this study was to compare the prevalence of Candida spp. on tongue in patients with GT and subjects with clinically healthy oral mucosa. Additional aims were to evaluate subjective symptoms, uncontrolled usage of prescribed or non-prescribed antifungal topical medications and the presence of the cancerophobia or other health concerns in patients with GT. Material and Methods: A total of 70 subjects were divided into two groups: Group B-patients with diagnosed Geographic tongue and group A -aged and gender matched controls with clinically health oral mucosa. Anamnestic charts designed for this study included information about symptoms (measured by Visual Analogue Scale), previous knowledge or fear about presence of GT and received therapy for this condition. Detection of Candida spp. from tongue was done using sterile cotton swab and Sabouraud dextrose agar. Results: At the time of this study, 18 (52.94%) of subjects with GT were aware of having this condition and even 12 of them (66.7%) used topical antifungal drugs prescribed by physician. Also, 66.7% of them experienced fear about the presence of GT at some moment. Detection of Candida spp. was similarly distributed in both groups (22.2% in group A and 17.6% in group B). Conclusions: Geographic tongue has frequently been treated by topical antifungal drugs. In this study, GT was not associated with presence of Candida spp.

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Section: Discussionmentioning

confidence: 99%

“…Some conditions that can be misdiagnosed as GT include oral candidiasis, vitamin deficiency glossitis, leukoplakia, systemic lupus erythematosus, lichen planus, drug reaction, and recurrent aphthous stomatitis 14 .…”

Section: Sample Collection and Cultivationmentioning

confidence: 99%

Geographic tongue: Does Candida play a role in its pathogenesis

Petrović¹,

Đorđević²,

Radunović³

et al. 2019

Balkan J Dent Med

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“…In treatment, topical corticosteroids may be recommended for symptomatic relief (Jacob, 2016;Khan, 2018).It was determined that the 55-year-old female patient, who was diagnosed polymyositis and prescribed systemic corticosteroids and azathioprine, started at the same time, applied to our clinic with the complaints of centralized, peripheral hyperkeratotic white plaques that give a feeling of burning against widespread, erythematic, hot, and acidic food. The disease causes pain and burning sensation in patients particularly when they intake acidic and hot food.…”

mentioning

confidence: 99%

“…In treatment, topical corticosteroids may be recommended for symptomatic relief (Jacob, 2016;Khan, 2018). In treatment, topical corticosteroids may be recommended for symptomatic relief (Jacob, 2016;Khan, 2018).…”

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Geographic tongue that responds to the treatment of pregabalin: Can it be a new treatment choice?

Kurtipek

Sarı

Akyürek

2018

Dermatologic Therapy

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Geographical tongue, also known as benign migratory glossitis or erythema migrans, is a benign dermatosis whose specific etiology is not known due to the disappearance of central erythematous and filiform papillaries surrounded by a hyperkeratotic ring forming the geographical shape on the tongue. The disease causes pain and burning sensation in patients particularly when they intake acidic and hot food.Nutritional deficiencies were rarely encountered in the research. In treatment, topical corticosteroids may be recommended for symptomatic relief (Jacob, 2016;Khan, 2018).It was determined that the 55-year-old female patient, who was diagnosed polymyositis and prescribed systemic corticosteroids and azathioprine, started at the same time, applied to our clinic with the complaints of centralized, peripheral hyperkeratotic white plaques that give a feeling of burning against widespread, erythematic, hot, and acidic food. It did not benefit from the topical treatments that she used from time to time for a long time. In the dermatological examination of the patient, the widespread periphery, starting from the ventral to the dorsal root, surrounded by white hyperkeratotic rings, consisting of plaques characterized by the disappearance of erythematous, filiform papillaries were seen (Figure 1). The nutritional tests of the patient were evaluated as normal. There was emotional stress that due to the role of chronic illness in the patient. Initially 2 × 25 mg pregabalin treatment started. In the first month of the treatment the lesions recovered 80-90%, and burning sensation diminished too (Figure 2). The treatment of the patient was readjusted to 1 × 25 mg/day. In the second month of the treatment, there was no increase in lesions; it was observed that there was some new healing and total regression of the subjective symptoms (Figure 3). Pregabalin, is an analogue of gamma amino butyric acid (GABA). It is the calcium canal ligand of pregabalin α2-δ and it is strongly attached to FIGURE 1 Geographical tongue before treatmentFIGURE 2 The first month of pregabalin treatment FIGURE 3 The second month of pregabalin treatment

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Dermatoses of the Oral Cavity and Lips

Carey,

Setterfield

2024

Rook's Textbook of Dermatology

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Geographic tongue

Cited by 9 publications

References 2 publications

Geographic tongue: Does Candida play a role in its pathogenesis

Geographic tongue: Does Candida play a role in its pathogenesis

Geographic tongue that responds to the treatment of pregabalin: Can it be a new treatment choice?

Dermatoses of the Oral Cavity and Lips

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