Geographic Tongue: What a Dermatologist Should Know

Ogueta, I.C.; Ramírez, M.P.; Jiménez, C Urzáiz; Cifuentes, M.M.

doi:10.1016/j.adengl.2019.05.001

Cited by 20 publications

(49 citation statements)

References 41 publications

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“…In asthmatic patients, the presence of geographic tongue is based on an underlying allergic condition. 34 In our study 8 of 115 children had a geographic tongue appearance.…”

Section: Discussionmentioning

confidence: 48%

Oral health status of asthmatic children using inhaled corticosteroids

et al. 2021

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Background. Due to the increase in the prevalence of asthma, especially in childhood, oral health problems arising from the use of asthma medications have become a major health concern. Inhaled corticosteroids are widely used since they are the cornerstone of asthma management. This study aimed to investigate the effects of inhaled corticosteroids on oral health and various factors regarding active ingredients in inhalers, inhaler-spacer device use, rinsing the mouth after administration of inhaler, oral hygiene practices and parents' education on dental caries susceptibility in young children with asthma. Methods. Children with asthma who were treated with inhaled corticosteroids for at least 6 months were included in the study. A questionnaire related to demographic characteristics and oral health practices of children was conducted with parents and the children were examined using a dental mirror and probe under dental unit lighting after air-drying the teeth. Results. Oral health status was evaluated in 115 children, 54 (42-66) months old, 61% male and 39% female with determination of dmft-dmfs, DMFT-DMFS, ICDAS II, plaque index and gingival index. No statistically significant difference was found between sugar-containing and sugar-free inhalers, duration of inhaled corticosteroid use, inhaler-spacer device use, rinsing the mouth after administration of inhaler and dmft-dmfs, DMFT-DMFS, plaque and gingival index (p>0.05). Long-term inhaled corticosteroid use was significantly associated with oral candidiasis (p=0.029). Also, the results showed that mothers' educational level had a significant effect on children's oral health (p dmft/dmfs <0.001; p gingival index =0.049; p plaque index =0.005). Conclusion. Due to the effect of immunosuppression, long-term use of inhaled corticosteroids enhances the risk of development of the opportunistic pathogen candida. Regular dental visits and preventive dental treatments are needed in these patients for healthy oral status.

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“…In asthmatic patients, the presence of geographic tongue is based on an underlying allergic condition. 34 In our study 8 of 115 children had a geographic tongue appearance.…”

Section: Discussionmentioning

confidence: 48%

Oral health status of asthmatic children using inhaled corticosteroids

et al. 2021

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“…Estudos sugerem uma relação entre psoríase e língua geográfica, de modo que esta seria a manifestação precoce daquela 9,11 . Quando comparados, achados histopatológicos dos fluidos de lesões orais da psoríase e estudos imuno-histoquímicos da GM demonstraram similaridade na quantidade de células T, em especial do tipo CD4+ 5,7,9,12,13 .…”

Section: Resultados E Discussão O Etiologia Da Glossite Migratória Benignaunclassified

“…Outro fator proposto como predisponente à glossite migratória benigna é o histórico alérgico pessoal ou familiar. Afecções como asma, eczema, rinite alérgica ou níveis séricos altos de imunoglobulina E, foram relatados como mais propensos a desenvolver língua geográfica que pessoas sem o histórico 7,11 .…”

Section: Resultados E Discussão O Etiologia Da Glossite Migratória Benignaunclassified

Glossite migratória benigna em crianças com idade pré-escolar

et al. 2021

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A glossite migratória benigna (GMB), também conhecida como língua geográfica (LG) ou eritema migratório (EM), é uma condição benigna comum de etiologia ainda desconhecida, entretanto, acredita-se que fatores psicossomáticos, imunológicos, infecciosos e nutricionais estejam associados. Essa condição acomete exclusivamente a língua, caracterizada por áreas erosivas migratórias, isoladas ou múltiplas. Esse estudo tem como objetivo realizar uma revisão de literatura acerca da existência dessa patologia em crianças com idade pré-escolar, assim como esclarecer seus aspectos fisiopatológicos. Foram analisados artigos científicos selecionados através das plataformas Google Acadêmico, Scientific Electronic Library Online (SCIELO) e Portal Regional da Biblioteca Virtual de Saúde (BVS), no período de 2000 a 2019. A pesquisa nas plataformas se deu através dos descritores MeSH: Glossite migratória benigna; Língua Geográfica; Pré-Escolares; Odontopediatria. Após a análise dos dados encontrados, observou-se que tal condição tem aspecto clínico multiforme, destacando-se a presença de lesões erosivas eritematosas com bordas irregulares, cinzento-esbranquiçada, que lembram os contornos de um mapa geográfico e que, após normalizarem, podem retornar no mesmo local ou em áreas diferentes, o que confere a aparência migratória. Portanto, é uma anomalia benigna que ocorre principalmente na primeira infância, sendo sua morfologia bastante variada e sem evidências significativas que haja predileção ao sexo. O tratamento é inespecífico e adequado aos sintomas.

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“…Because it can be difficult to differentiate this lesion from other neoplasms, excisional biopsy is indicated. Chronic trauma can also precipitate the development of pyogenic granulomas at the site 26 . On ultrasound these lesions may appear as oval, well defined hypoechoic lesions with posterior enhancement and no detectable vascularity.…”

Section: Common Pathologiesmentioning

confidence: 99%

“…Low flow lesions tend to be hypoechoic, heterogeneous masses with multiple anechoic sinusoidal spaces on US, there is no evidence of arterial flow on colour Doppler and phleboliths may be present within the lesions. High flow lesions are usually rare or uncommon, and although they usually present at birth, they can manifest at any age—usually after a period of rapid growth 26 . Colour Doppler usually reveals a mass composed entirely of vascular spaces with aberrant arterial and venous vessels within the mass.…”

Section: Common Pathologiesmentioning

confidence: 99%

Tongue sonography: An introduction

2020

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Sonography has long been recognised as the primary imaging modality in the evaluation of thyroid, parathyroid, nodal, and salivary gland pathologies. Since the late 1980‐2019's, the literature has described an evolving role for ultrasound in the assessment of the tongue and the floor of mouth. Ultrasound can be used for tumour staging, vascular malformations, and for the evaluation of tongue movement during phonation and in the sleep cycle. This article aims to introduce the sonographer to the basic technique, sonographic anatomy, and commonly encountered abnormalities of tongue ultrasound. It has been divided into three key sections: Anatomy, Function, and Physiology; ultrasound technique (Transcervical/Intra‐oral); common pathology.

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Geographic Tongue: What a Dermatologist Should Know

Cited by 20 publications

References 41 publications

Oral health status of asthmatic children using inhaled corticosteroids

Oral health status of asthmatic children using inhaled corticosteroids

Glossite migratória benigna em crianças com idade pré-escolar

Tongue sonography: An introduction

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