Psoriasis is associated with fissured tongue but not geographic tongue: a prospective, cross-sectional, case-control study.

BACKGROUND AND OBJECTIVES: It has been postulated that psoriasis is associated with tongue lesions and geographic tongue might be "oral psoriasis". However, reports are inconclusive, prevalence rates vary and data for Europe are sparse. In this prospective case-control study we investigated the point-prevalence of tongue conditions in an Austrian cohort. PATIENTS AND METHODS: Psoriasis patients and healthy volunteers were assessed regarding tongue and skin lesions, age, sex, smoking habits, allergies, onset of psoriasis, PASI scores and anti-psoriatic treatment. RESULTS: We included 173 psoriasis patients, 58 women, 115 men (median age: 50 [37-60] years), and 173 volunteers, 79 women, 94 men (median age: 54 [43-64] years). Overall, 95 subjects had allergies, 64 psoriasis patients and 50 volunteers were smokers. Median age at onset of psoriasis was 26 (12-40) years, the median PASI score was 2 (0-4.1), most patients received ustekinumab (n = 47). Fissured tongue was significantly associated with psoriasis (25 [14.4 %] psoriasis patients, 13 [7.5 %] volunteers; P = 0.04). Geographic tongue was present in four individuals of each group (2.3%) and associated with smoking (P = 0.01) but not with psoriasis. CONCLUSIONS: Overall, we found a low point-prevalence of tongue lesions in this Austrian cohort. Psoriasis was associated with fissured tongue but not with geographic tongue. Thus, we cannot corroborate the hypothesis that geographic tongue is an oral manifestation of psoriasis.

Investigation of oral atopic diseases: Correlation between geographic tongue and fungiform papillary glossitis.

INTRODUCTION: The correlation between oral lesions and atopy is not new, but few studies have investigated the prevalence of mucosal changes in diseases within the atopic spectrum, leading to conflicting data. Some studies found a possible relationship between geographic tongue, transient lingual papillitis and atopic diseases. AIM: To investigate the frequency of geographic tongue and fungiform papillary glossitis in patients with atopic diseases, and its correlation with serum IgE levels and skin test results. MATERIAL AND METHODS: The sample was comprised of participants with atopic diseases paired with participants who received negative puncture skin tests. All were submitted to stomatological and medical evaluations, prick test and oral cytopathological. RESULTS: The female sex was more numerous in both groups. Mean age was 21 years. A total of 60 diagnoses of atopic diseases were obtained, with allergic rhinitis being the most prevalent. Fungiform papillary glossitis was the most frequent oral lesion in both groups, while geographic tongue was present in 2 cases (2%) in the test group and 2 (2%) in the control group. Atopic patients with fungiform papillary glossitis presented high serum IgE levels. In atopic patients with geographic tongue, the prick test positively identified extracts of Dermatophagoides pteronyssinus (100%) and Dermatophagoides farinae (100%). CONCLUSION: Due to the low frequency of geographic tongue lesions found in the study, it is no possible to conclude if that could be an oral manifestation of atopy. However fungiform papillary glossitis is a common alteration in atopic and non-atopic patients and has a relationship with high IgE serum levels. However, the consolidation of this result requires a larger sample size.

Glossite migratória benigna em paciente pediátrico: relato de caso / Benign migratory glossitis in odontopediatric pacient: case report

Glossite migratória benigna, ou, língua geográfica, é uma desordem inflamatória assintomática de etiologia desconhecida que afeta o epitélio da língua. É diagnosticada clinicamente pela perda de papilas filiformes de maneira localizada e pelo aparecimento e remissão dessas perdas de modo migratório. Na maioria dos casos, não há necessidade de recorrer a um tratamento, no entanto, na presença de incômodos, analgésicos podem ser indicados. O objetivo deste estudo é trazer informações sobre o tema retratando suas peculiaridades e importância de conhecimento clínico(AU)

Benign migratory glossitis, or, geographic tongue, is an asymptomatic inflammatory disorder of unknown etiology that affects the tongue epithelium. It is diagnosed clinically by the loss of filiform papillae in a localized way and by the appearance and remission of these losses in a migratory way. In most cases, there is no need to resort to a treatment, however, in the presence of discomfort, analgesics may be indicated. The objective of this study is to bring information about the theme portraying its peculiarities and importance of clinical knowledge(AU)

Diseases of the tongue.

The tongue is a complex organ involved in speech and expression as well as in gustation, mastication, and deglutition. The oral cavity, along with the tongue, are sites of neoplasms, reactive processes, and infections, and may be a harbinger of systemic diseases. This review includes both common and rare diseases that occur on the tongue, including: vascular and lymphatic lesions (infantile hemangiomas and oral varices), reactive and inflammatory processes (hairy tongue, pigmented fungiform papillae of the tongue, benign migratory glossitis, and fissured tongue), infections (oral hairy leukoplakia, herpes simplex and varicella-zoster virus infections, human papillomavirus, and candidiasis), premalignant lesions (leukoplakia and erythroplakia), malignant lesions (squamous cell carcinoma, Kaposi sarcoma, and lymphoproliferative diseases), and signs of systemic disease (nutritional deficiency and systemic amyloidosis).

The prevalence of celiac disease in patients with geographic tongue.

BACKGROUND: Geographic tongue (GT) is a benign inflammatory condition usually involving the dorsal surface and lateral borders of the tongue. Numerous etiological factors of GT have been suggested, including immunological factors; genetic; atopic or allergic predisposition; emotional stress; and hormonal disturbances. GT may also coexist as one of the possible manifestations of celiac disease (CD). Therefore, the aim of this study was to investigate the prevalence of CD, positive serologic tests for CD screening, and HLA-DQ presence in patients with GT. METHODS: Tissue transglutaminase antibodies (anti-tTG), antibodies against gliadin (AGA), and human leukocyte antigen (HLA) typing were assessed for 60 GT patients and 60 healthy control subjects. The duodenal biopsy was performed in patients with positive serologic tests. RESULTS: We found that 9 (15%) GT patients were positive for IgA tTG, and in those patients histological changes consistent with CD were confirmed by duodenal biopsy. Only two of them reported the presence of gastrointestinal symptoms. There were statistically significant differences between the GT patients and control group for immunoglobulin (Ig) A tTG (P = 0.03), IgG tTG (P = 0.04), IgA AGA (P = 0.04), and IgG AGA (P = 0.02). CONCLUSION: The results of our study demonstrated the increased prevalence of CD in patients with GT. Therefore, the clinical oral examination should be considered a diagnostic tool, especially in atypical or silent forms of CD, since it may contribute to provide an early diagnosis.

Psoríase e suas manifestações bucais / Psoriasis and its oral manifestations

O presente estudo teve por objetivo investigar a rela‡Æo entre psor¡ase e algumas manifesta‡ães bucais consideradas comuns, principalmente a l¡ngua geogr fica. Foi realizado um estudo epidemiol¢gico, caracterizado como uma pesquisa transversal observacional anal¡tica. Foram examinados clinicamente 39 pacientes, subdivididos em dois grupos, sendo os portadores de l¡ngua geogr fica (Grupo 1) e psor¡ase (Grupo 2). Os resultados foram analisados por meio de an lise estat¡stica descritiva. A partir da amostra analisada, p“de-se concluir que uma rela‡Æo entre a l¡ngua geogr fica e o aparecimento da psor¡ase ‚ incerta. Por outro lado, observou-se que a prevalˆncia da l¡ngua geogr fica em pacientes com psor¡ase foi consideravelmente maior que numa popula‡Æo normal

This epidemiological study has investigated the association of psoriasis to common oral conditions, especially geographic tongue. Thirty-nine patients were examined in this crosssectional analytical observational research. The patients were divided into two groups: patients presenting geographic tongue (Group 1) and patients affected by psoriasis (Group 2). The results were analyzed using descriptive statistics. An unclear association between geographic tongue and the occurrence of psoriasis was observed in this study. However, the prevalence of geographic tongue in patients with psoriasis was significantly higher than its frequency in a normal population

[Palpable arciforme migratory erythema]. / Erythema migrans arciforme et palpabile.

A 39-year-old man presented with an annular clearly palpable erythema on the décolleté. Based on clinical and histopathological findings, palpable migratory arciform erythema was diagnosed. This skin condition is classified as a rare type of T-cell pseudolymphoma. It is still a matter of debate whether palpable migratory arciform erythema is a specific entity or a clinical variant of lymphocytic infiltration of the skin (Jessner-Kanof). Topical corticosteroids or oral antibiotics are generally used. In our patient, UV-A1 therapy led to a complete regression of the lesions.

Increased prevalence of geographic tongue in burning mouth complaints: a retrospective study.

OBJECTIVES: The objective of this study was to assess the frequency of geographic tongue and fissured tongue (GFT) in patients with burning mouth syndrome (BMS). Our hypothesis was that benign soft tissue changes to the tongue, such as GFT, are associated with BMS. STUDY DESIGN: Retrospective review of 161 patients with BMS and 87 TMJ dysfunction cases as control. Frequency of GFT and demographics for both groups was assessed. RESULTS: In the BMS group, 26.7% of the subjects were diagnosed with GFT, whereas in the control group, 11.5% had GFT (P < .05). In the subgroup of BMS with GFT, the male-to-female ratio was approximately 1:2, whereas the male-to-female ratio of those with BMS and no GFT was approximately 1:5 (P < .05). CONCLUSIONS: Our results demonstrate a higher than expected prevalence of GFT among patients with BMS compared with a control group of patients with TMJ. In males, GFT may be a significant predictor for BMS.

Estudo da prevalência de alterações de língua / Prevalence study of the tongue alterations

Introdução - A língua desempenha importantes funções na mastigação, deglutição, gustação e fala. Alterações nesse órgão, como sinal de desordens no organismo, são muito valorizadas clinicamente, uma vez que várias doenças sistêmicas podem estar associadas. O objetivo deste estudo é realizar um perfil epidemiológico,retrospectivo, de seis alterações linguais presentes em pacientes assistidos no projeto de extensão de Estomatologia intitulado: “Diagnóstico, tratamento e epidemiologia das doenças da cavidade bucal (Lebu)”, na Clínica Odontológica da Universidade Estadual de Maringá (UEM), entre o período de 1995 a 2010 e averiguar a relação destas alterações linguais com portadores de prótese e/ou hábitos nocivos. Material e métodos – Realizou-se uma pesquisa retrospectiva na Clínica de Estomatologia doDepartamento de Odontologia da UEM, entre o período de 1995 a 2010, utilizando-se de 2176 prontuários de pacientes assistidos e biopsiados no projeto de extensão Lebu. Resultados - Dos prontuários analisados, 132 pacientes (6,06%) apresentavam algum tipo de alteração lingual. Do número total de pacientes com alterações de língua 72% apresentavam uma associação de lesões sobrepostas. Um total de 38,6% dos pacientes fazia uso de prótese, havendo correlação estatisticamente significante entreo uso de prótese e glossodinia. O uso do tabaco e/ou álcool foi visto em 35,60% dos pacientes, sendo sua relação estatisticamente significante com o desenvolvimento da língua saburrosa e língua pilosa negra. Conclusões – Dentre as alterações de língua estudadas a de maior prevalência foi a língua geográfica. A faixa etária de predileçãofoi a quarta década de vida. A prevalência da língua saburrosa e língua pilosa negra apresentou relação com os pacientes usuários de álcool e tabaco.

Introduction - The tongue plays an important role in chewing, swallowing, taste and speech. Alterations in this organ as a sign of disorders in the body, are highly valued clinically, since many systemic diseases may be associated. The aim of this study is an epidemiological, retrospective six tongue alterations present in patients from the Extension Project of Stomatology titled “Diagnosis, treatment and epidemiology of diseases of the oral cavity (LEBU)” in the Dental Clinic, State University of Maringá, between the period from 1995 to 2010 and the investigate the relationship of these tongue alterations with prostheses and/or harmful habits.Material and methods – A retrospective study at the Clinic of Stomatology, Department of this University was held between the period 1995 to 2010, using the 2176 records of patients assisted and biopsied in the extension project LEBU. Results – 132 patients (6.06%) had some type of the tongue alterations. The total number of patients with tongue alterations (N = 132), 72% had a combination of overlapping lesions. Total of 38.6% of patients used a prosthesis, there was a statistically significant correlation between the use of prosthesis and glossodynia. In relation to tobacco addiction and / or alcohol abuse, 35.60% of patients had some type of addiction, and tobacco useand / or alcohol use was statistically significant for coated tongue and black hairy tongue. Conclusions - Among the tongue alterations studied the most prevalent was the geographic tongue. The age of predilection was the fourth decade of life. The prevalence of coated tongue and black hairy tongue patients were related to the usersof alcohol and tabacco.