Otolaryngology Book

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Geographic TongueAka: Migratory Glossitis, Glossitis Areata Exfoliativa, Glossitis Areata Migrans, Erythema Migrans of the Dorsal Tongue

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  1. Epidemiology
    1. Prevalence: 1-2% in U.S. (common)
  2. Pathophysiology
    1. Benign condition
    2. Seen in patients with atopic diathesis or Psoriasis
    3. Unclear etiology
  3. Symptoms
    1. Asymptomatic in most cases
    2. Burning may occur with spicy foods
  4. Signs
    1. Scattered bright red areas on Tongue dorsum
      1. Denuded of papillae, smooth (filiform atrophy)
      2. Map-like pattern on dorsal or lateral Tongue
    2. Surrounded by light yellow or white elevated rings
    3. Pattern changes within days
  5. Management: Symptomatic lesions
    1. No treatment is uniformly effective
    2. Treatments that have been tried
      1. Topical Corticosteroids
      2. Zinc supplementation
      3. Topical anesthetics

Glossitis, Benign Migratory (C0017677)

Definition (MSH)An idiopathic disorder characterized by the loss of filiform papillae leaving reddened areas of circinate macules bound by a white band. The lesions heal, then others erupt.
ConceptsDisease or Syndrome (T047)
ICD9529.1, 529.1
MSHD005929
EnglishBenign migratory glossitis, Denuded islands on tongue, Erythema migrans, Geographic Tongue, Geographical tongue, Glossitis Areata Exfoliativa, Glossitis areata migrans, Lingual erythema migrans, Lingual geographica, Pityriasis linguae, TONGUE GEOGRAPHIC
Spanishglositis areata exfoliativa, glositis areata migratoria, glositis migratoria benigna, lengua geografica
Parent ConceptsTongue Diseases (C0040409), Diseases and other conditions of the tongue (C0155962), Glossitis (C0017675), Tongue papillary atrophy NOS (C0155964)
SourcesAOD, COSTAR, CST, DXP, ICD9CM, MSH, MTHICD9, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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