Relation Between Psoriasis and Geographic Tongue

Oral Psoriasis: An Overlooked Enigma

“…It develops from localized desquamation of filiform papillae resulting in multifocal erythematous patches surrounded by white, raised serpentine borders which expand centrifugally and appear to change in shape, size, location, and color over time [8,15,27]. Affected patients are often unaware since lesions are typically asymptomatic [27]. Periodic exacerbations characterized by burning, particularly upon exposure to spicy foods, are possible.…”

“…For example, Munro's abscesses, although neither essential nor specific to the diagnosis [4], may be difficult to be discerned in the psoriatic lesions of movable oral mucosa where the stratum corneum is absent, thus possibly hindering a diagnosis [4,30]. Other pustular conditions of oral mucosa include parulis related to an abscess of odontogenic origin, subcorneal pustular mucositis, pyostomatitis vegetans, and herpetiform stomatitis [27]. Neutrophilic infiltration or microabscesses in the latter two conditions involve the lower layers of the epithelium or subjacent connective tissue [27].…”

“…Geographic tongue, BMG or wandering rash of the tongue is a common inflammatory condition of unknown etiology affecting the dorsum and lateral borders of the tongue [27]. It develops from localized desquamation of filiform papillae resulting in multifocal erythematous patches surrounded by white, raised serpentine borders which expand centrifugally and appear to change in shape, size, location, and color over time [8,15,27]. Affected patients are often unaware since lesions are typically asymptomatic [27].…”

Unusual presentation of a psoriasiform mucositis in the oral cavity: case report

“…Both steroids and retinoids help to control the disease. 4 Richardson et al 6 and Tarakji et al 11 described the use of corticosteroids successfully, while Reis et al 9 used retinoids with success. Richardson et al 6 reported that asymptomatic cases do not require medication.…”

Benign Migratory Glossitis: Report of a Rare Case with Review of Literature

“…Benign migratory glossitis may occur with Down's syndrome, diabetes mellitus or fissured tongue. It may present as an oral manifestation of psoriasis [14], or as a marker of psoriasis severity [15]. A diagnosis of benign migratory glossitis was attained on the basis of history and clinical findings.…”