$Unique_ID{BRK00745}
$Pretitle{}
$Title{What is "Geographic Tongue"?}
$Subject{ill defined symptoms symptom tongue geographic glossitis benign
migratory oral hygiene psoriasis seborrheic dermatosis}
$Volume{N-11}
$Log{}

Copyright (c) 1991-92,1993   Tribune Media Services, Inc.


What is "Geographic Tongue"?


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QUESTION:  When I took a good look at my grandson's tongue, I got the shock of
my life, for it was like nothing I had ever seen before.  My daughter in law
was less concerned and said her doctor had diagnosed it as something called a
"geographic tongue".  Do you know what she is talking about and will you
please explain it to me?

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ANSWER:  Although not a common finding, it is present in about 1% to 2% of the
population, but is most common in children under 4 years of age.  It also is
called "benign migratory glossitis" and the word "benign" should be of some
comfort to you.  Geographic Tongue describes a condition where the tongue has
smooth patches, outlined by grey-yellow or whitish margins that form a
map-like pattern, one which keeps changing its shape (migratory).  Usually
there are no symptoms, although occasionally there is a slight burning or
soreness experienced when eating spicy foods.  There is no generally accepted
cause, although some believe it may be associated with psoriasis or seborrheic
dermatosis.  Likewise there is no specific treatment.  Multivitamins and
antibiotics have been tried without any notable success in changing the
situation.  Good oral hygiene is helpful, and may be all that is required when
no symptoms are present.  The condition will subside by itself, only to return
and disappear again over time.  In adults it tends to return during periods of
emotional stress.  I am sure the baby's physician will keep an eye on the
condition and act appropriately to control any symptoms which might develop.
Apparently your daughter in law has been reassured about the situation, and I
hope that now you feel a bit better about it as well.

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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.