Geographic tongue

Geographic tongue Benign migratory glossitis or geographic tongue is a benign condition that occurs in 3% of the general population. Most often patients are asymptomatic, though some reported increased sensitivity to hot or spicy foods. The etiology and pathogenesis are not yet known. The condition affects men and women, being more common in adults than in children. The event is a classic area of erythema, with atrophy of filiform papillae of the tongue, surrounded by a hyperkeratotic border, white. The patient often reports spontaneous resolution of lesions of the tongue. Lesional activity may disappear in time. If mucosal lesions appear in other areas the condition is called migratory erythema. No need any therapy because the condition is benign and often asymptomatic.
Pathogenesis and causes
Anatomic area affected is usually the language, however, and other mucous membranes may be affected regions. It is frequently reported in patients with psoriasis and fissured tongue. Although an inflammatory condition and suggested a model of hereditary transmission congestion due to family circumstances.
Signs and symptoms
Geographic tongue can affect all age groups but is more prevalent in adults. Patients may be geographical tongue burning or irritation of the tongue after ingestion of hot or spicy foods. Discomfort can be improved over time, and the condition affects different areas of language in different periods. Patients may be worried about the diagnosis of oral cancer. Language presents a well-demarcated area of erythema, especially affecting the dorsal and lateral margins of the tongue. In the area of erythema architectural language is removed, with loss of filiform papillae and the surrounding mucosa atrophy. Surrounding area is well defined, hyperkeratotic, white with yellow edges, serpingioase, irregular. Similar lesions may be present in other mucosal areas.
Diagnosis
Biopsy is usually not necessary. Histological examination. Geographic tongue is a mucosa descira psoriasis. At the periphery is observed hyperkeratosis and acanthosis. In the center of the lesion and corresponding area described erythematous filiform papillae loss with congestion and neutrophil migration into the epithelium forming spongiform pustules. Inflammatory infiltrate in the lamina propria is predominantly neutrophilia. The differential diagnosis is made with the following conditions: chemical burns, cancer of the oral mucosa, mucosal candidiasis, contact stomatitis, fissured tongue, lichen planus, psoriasis boards.
The disease is not treated as benign and asymptomatic.