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VOLUME 1 , ISSUE 2 ( May-August, 2013 ) > List of Articles

CASE REPORT

Geographic Tongue in A 6 Year Old Child: A Case Report with Review of Literature

Punnet Bajaj, Charu Kapoor, Deepti Garg, Rajeesh Mohammed P.K, Robin Sabharwal, Sharad Vaidya

Keywords : Geographic tongue, Etiology, Cytology

Citation Information : Bajaj P, Kapoor C, Garg D, P.K RM, Sabharwal R, Vaidya S. Geographic Tongue in A 6 Year Old Child: A Case Report with Review of Literature. 2013; 1 (2):112-117.

DOI: 10.1055/s-0038-1671964

License: NA

Published Online: 08-05-2023

Copyright Statement:  NA


Abstract

Geographic tongue is an inflammatory disorder characterized by asymptomatic erythematoud patched with serpiginous borders. Clinically the appearance is of multifocal, circinate, irregular patches bonded by slightly elevated, white colored keratotic bands. Several etiological factors have been proposed. The conditions may remain asymptomatic or patients may present with complains of pain and burning sensation. We report a case of geographic tongue in a 6 year old boy with review of current concept in causes and management.


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  1. Marks R, Radden BG. Geographic tongue: a clincopathology review. Australas J Dermatol 1981;22:75-9.
  2. Assimakopoulos D, Patrikakos G, Fotika C, Elisaf M. Benign migratory glossitis or geographic tongue: an enigmatic oral lesion. Am J Med 2002;113:751-5.
  3. Kovac-Kovacic M, Skaleric U. The prevalence of oral mucosal lesions in a population in Ljubljana, Slovenia. J Oral Pathol Med 2000;29:331-5.
  4. Jainkittivong A, Langlais RP. Geographic tongue: clinical characteristics of 188 cases. J Contemp Dent Pract 2005;15:123-35.
  5. Shulman JD, Carpenter WM. Prevalence and risk factors associated with geographic tongue among US adults. Oral Dis 2006;12:381-6.
  6. Marks R, Simons MJ. Geographic tongue—a manifestation of atopy. Br J Dermatol 1979;101:159-62.
  7. Avcu N, Kanli A. The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis 2003;9:188-95.
  8. Rioboo-Crespo Mdel R, Planells-del Pozo P, Rioboo-Garcia R. Epidemiology of the most common oral mucosal diseases in children. Med Oral Patol Oral Cir Bucal 2005;10:376-87.
  9. Miloglu O, Goregen M, Akgul HM, Acemoglu H. The prevalence and risk factors associated with benign migratory glossitis lesions in 7619 Turkish dental outpatients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:e29-33.
  10. Redman RS, Shapiro BL, Gorlin RJ. Hereditary component in the etiology of benign migratory glossitis. Am J Hum Genet 1972; 24:124-33.
  11. Hashemipour M, Rad M, Dastboos A. Frequency, clinical characteristics and factors associated with geographic tongue. Shiraz Univ Dent J. 2008;9:83-92.
  12. Cooke BE. Erythema migrans affecting the oral mucosa. Oral Surg Oral Med Oral Pathol 1955;8:164-7.
  13. Hume WJ. Geographic stomatitis: a critical review. J Dent 1975;3:25-43.
  14. Donelli RA. Geographic stomatitis (tongue and mucosae). J Clin Stomatol Conf. 1964;5:21-22.
  15. Saprio SM, Shklar G. Stomatitis areata migrans. Oral Surg Oral Med Oral Pathol 1973;36:28-33.
  16. Rood JP. An unusual presentation of erythema migrans. J Dent 1974;2:207-8.
  17. Zingale JA. Migratory stomatitis: a case report. J Periodontol 1977;48:298-302.
  18. Grinspan D, Fernandez Blanco G, Aguero S, Bianchi O, Stringa S. Ectopic Geographic tongue and AIDS. Int J Dermatol 1990;29:113-6.
  19. Kullaa-Mikkonen A, Kotilainen R, Alakuijala P. Sialochemistry in mucosal lesions of the tongue: electrolytes and total protein. Int J Oral Maxillofac Surg 1986;15:318-21.
  20. Waltimo J. Geographic tongue during a year of oral contraceptive cycles. Br Dent J 1991;171:94-6.
  21. Wysocki GP, Daley TD. Benign migratory glossitis in patients with juvenile diabetes. Oral Surg Oral Med Oral Pathol 1987;63:68-70.
  22. Zhu JF, Kaminski MJ, Pulitzer DR, Hu J, Thomas HF. Psoriasis: pathophysiology and oral manifestations. Oral Dis 1996;2:135-44.
  23. Zargari O. The prevalence and significance of fissured tongue and geographical tongue in psoriatic patients. Clin Exp Dermatol 2006;31:192-5.
  24. Marks R, Scaff CE, Yap LM, Verlinden V, Jolley D, Champell J. Fungiform papillary glossitis: disease in the mouth? Br J Dermatol 2005;153:740-5.
  25. Marks R, Czarny D. Geographic tongue: sensitivity to the environment. Oral Surg Oral Med Oral Pathol 1984;58:156-9.
  26. Yarom N, Cantony U, Gorsky M. Prevalence of fissured tongue geographic tongue and median rhomboid glossitis among Israeli adults of different ethnic origins. Dermatology 2004;209:88-94.
  27. Eidelman E, Chosack A, Cohen T. Scrotal tongue and geographic tongue: polygenic and associated traits. Oral Surg Oral Med Oral Pathol 1976;42:591-6.
  28. Cerqueira DF, de Souza IP. Orofacial manifestations of a patient with Robinow's syndrome: a case report in pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:353-7.
  29. Fotiou G, Laskaris G. Reiter's syndrome oral manifestations. Hell Stomatol Chron 1988;32:148-51.
  30. Daneshpazhooh M, Nazemi TM, Bigdeloo L, Yoosefi M. Mucocutaneous findings in 100 children with Down syndrome. Pediatr Dermatol 2007;24:317-20.
  31. Ercis M, Balci S, Atakan N. Dermatological manifestations of 71 children admitted to clinical genetics unit. Clin Genet 1996;50:317-20.
  32. Redman RS, Vance FL, Gorlin RJ, Peagler FD, Meskin LH. Psychological component in the etiology of geographic tongue. J Dent Res 1966;4:1403-8.
  33. Banoczy J, Szabo L, Csiba A. Migratory glossitis. A clinical- histological review of seventy cases. Oral Surg Oral Med Oral Pathol 1975;39:113-21.
  34. Patki AH. Geographic tongue developing in a patient on Lithium Carbonate therapy. Int J Dermatol 1992;31:368-9.
  35. Fenerli A, Papanicolaou S, Papanicolaou M, Laskaris G. Histo combatibility antigens and geographic tongue. Oral Surg Oral Med Oral Pathol 1993;76:476-9.
  36. Pavelic J, Gall-Troselj K, Mravak-Stipetic M, Pavelic K. The p53 and nm23-H1 genes are not deleted in oral benign epithelial lesions. Anticancer Res 1998;18:3527-31.
  37. Eidelman E, Chosack A, Cohen T. Scrotal tongue and geographic tongue: polygenic and associated traits. Oral Surg Oral Med Oral Pathol 1976;42:591-6.
  38. Nanda A, Kaur S, Bhakoo ON, Kapoor MM, Kanwar AJ. Fetal hydantoin syndrome: a case report. Pediatr Dermatol 1989;6:130-3.
  39. Hassinger DD, Mulvihill JJ, Chandler JB. Aarskog's syndrome with Hirschprung's disease, midgut malrotation and dental anomalies. J Med Genet 1980;17:235-8.
  40. Pogrel MA, Cram D. Intraoral findings in patients with psoriasis with a special reference to ectopic geographic tongue (erythema circinata). Oral Surg Oral Med Oral Pathol 1988;66:184-9.
  41. Gonzaga HF, Torres EA, Alchorne MM, Gerbase-Delima M. Both psoriasis and benign migratory glossitis are associated with HLA-Cw6. Br J Dermatol 1996;135:368-70.
  42. Marks R, Taitt B. HLA antigens in geographic tongue. Tissue Antigens 1980;15:60-2.
  43. Espelid M, Bang G, Johannessen AC, Leira JI, Christensen O. Geographic stomatitis: report of 6 cases. J Oral Pathol Med 1991;20:425-8.
  44. Hietanen J, Salo OP, Kanerva I, Juvakoski T. Study of the oral mucosa in 200 consecutive patients with psoriasis. Scand J Dent Res 1984;92:50-4.
  45. Goregen M, Melikoglu M, Miloglu O, Erdem T. Predisposition of allergy in patients with benign migratory glossitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:470-4.
  46. McLedon PA, Jaeger DS. Milk intolerance, the cause of a nutritional entity: a clinical study. South Med J 1943;36:571-5.
  47. Chosack A, Zadik D, Eidelman E. The prevalence of scrotal tongue and geographical tongue in 70359 Israeli schoolchildren. Community Dent Oral Epidemiol 1974;2:253-7.
  48. Wright V, Reed WB. The link between Reiter's syndrome and psoriatic arthritis. Ann Rheum Dis. 1964;23:12-21.
  49. Kulka JP. The lesions of Reiter's syndrome. Arthritis Rheum 1962;5:195-201
  50. Weathers DR, Baker G, Archard HO, Brukes EJ Jr. Psoriasiform lesions of the oral mucosa (with emphasis on “ectopic geographic tongue”). Oral Surg Oral Med Oral Pathol 1974;37:872-88.
  51. Sigal MJ, Mock D. Symptomatic benign migratory glossitis: report of two cases and literature review. Pediatr Dent 1992; 14:392-6.
  52. Plackova A, Skach M. The ultrastructure of geographic tongue. Oral Surg Oral Med Oral Pathol 1975;40:760-8.
  53. Kullaa-Mikkonen A. Geographic tongue: an SEM study. J Cutan Pathol 1986;13:154-62.
  54. Binmadi NO, Jham BC, Meiller TF, Scheper MA. A case of deeply fissured tongue. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:659-63.
  55. Greer RO. Pathology of malignant and pre-malignant oral epithelial lesions. Otolaryngol Clin North Am 2006;39:249-75.
  56. Helfman RJ. The treatment of geographic tongue with topical Retin-A solution. Cutis 1979;24:179-80.
  57. Abe M, Sogabe Y, Syuto T, Ishibuchi H, Yokoyama Y, Ishikawa O. Successful treatment with cyclosporine administration for persistent benign migratory glossitis. J Dermatol 2007;34:340-3.
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