Tongue lesions in generalized pustular psoriasis

Abstract

SUMMARY The appearance of the tongue has been recorded in ten consecutive patients suffering from generalized pustular psoriasis and in 1000 consecutive dermatology patients. Tongue lesions similar to geographic tongue (benign migratory glossitis) are frequently seen in patients suffering from generalized pustular psoriasis and an unusually high proportion of patients with generalized pustular psoriasis also have heavily fissured tongues. Moreover, it seems probable that the presence of geographic tongue or heavy fissuring of the tongue in an otherwise apparently normal individual indicates that he or she may possess a propensity to develop generalized pustular psoriasis.

Oral Psoriasis: Report of a Case and Review of the Literature

“…Since 1903, when Oppenhcim first substantiated oral psoriasis, there have been 68 cases presented in the liter ature [2][3][4] (table 1), all accompanied by cutaneous Baker and Ryan [3] studied 100 cases of pustular pso riasis and reported 5 cases with oral lesions (5%). Laskaris ct al.…”

“…It has been debated whether oral psoriasis exists or not or occurs only as part of the general ized pustular variant f [1][2][3][4], It has been stated that diagnosis of intraoral psoriasis is possible only when the clinical course of mucosal lesions parallels that of the skin and is supported by histologic findings [1 j.…”

Tongue lesions in psoriasis: a controlled study

“…Since then, various lesions have been described, including grey, yellowish, white or translucent plaques or annular forms, diffuse areas of erythema, geographic tongue and fissured tongue [7-16]. …”

Geographic Tongue in Two Siblings

“…GT is a lesion outlined by a white margin which shows psoriatic histological changes as noted in the present cases, and since it is frequently observed in generalized pustular psoriasis, Dawson [3] suggested that the presence of GT in an otherwise apparently normal person indicated that such persons might have a propensity to develop general ized pustular psoriasis. By scanning elec tron microscopy, Kullaa-Mikonen [13] also found a pathologic process similar to psori asis with abnormal desquamation in the white margin where heavy inflammatory in filtration was noted.…”

“…GT was recorded more than a century ago as pityriasis of the tongue. But during the subsequent long period, it had been called a number of names (exfoliatio areata linguae, benign migratory glossitis, annulus migrans), and there have been many reports from derma tologists and dentists associating it with atopic dermatitis [1,2], pustular psoriasis [3][4][5][6], psoriasis vulgaris [7][8][9], dermatitis and bronchitis [10], and Reiter's disease [11]. According to the review of Hume [12], a large number of the parents of children with GT had fissured tongue (FT; furrowed ton gue, grooved tongue, scrotal tongue, lingua plicata), but only a small percentage of the parents had GT.…”