Tongue lesions in psoriasis: a controlled study

Abstract

BackgroundOur objective was to study tongue lesions and their significance in psoriatic patients.MethodsThe oral mucosa was examined in 200 psoriatic patients presenting to Razi Hospital in Tehran, Iran, and 200 matched controls.ResultsFissured tongue (FT) and benign migratory glossitis (BMG) were the two most frequent findings. FT was seen more frequently in psoriatic patients (n = 66, 33%) than the control group (n = 19, 9.5%) [odds ratio (OR): 4.69; 95% confidence interval (CI): 2.61–8.52] (p-value < 0.0001). BMG, too, was significantly more frequent in psoriatic patients (28 cases, 14%) than the control group (12 cases, 6%) (OR: 2.55; 95% CI: 1.20–5.50) (p-value < 0.012). In 11 patients (5.5%), FT and BMG coexisted.FT was more frequent in pustular psoriasis (7 cases, 53.8%) than erythemato-squamous types (56 cases, 30.4%). On the other hand, the frequency of BMG increased with the severity of psoriasis in plaque-type psoriasis assessed by psoriasis area and severity index (PASI) score.ConclusionsNonspecific tongue lesions are frequently observed in psoriasis. Further studies are recommended to substantiate the clinical significance of these seemingly nonspecific findings in suspected psoriatic cases.

Geographic Tongue in Psoriasis: Case Reports

“…A single score is calculated and ranges between 0 (no disease) to 72 (maximal disease). In a study, frequency of geographic tongue increased with the severity of psoriasis in plaque-type psoriasis assessed by PASI score [11]. Moreover, one of our patients came with exacerbated disease (case 1) and other patient is maintenance phase patient (case 2).…”

“…Also, Our patients above are plaque type psoriasis patients. The presence of geographic tongue in a normal patient indicates an increased likelihood of developing generalized pustular psoriasis [11].…”

Clinical Aspects of the Oral Cavity in Patients with Psoriasis: An Initial Study and a Proposal of a New Evaluation Method

“…Other authors (19) have suggested that geographic tongue is a transient expression of psoriasis while fissured tongue is a late and permanent sign. In recent studies, Daneshpazhooh and collaborators (20) showed that fissured tongue was seen in 33% of patients with psoriasis and geographic tongue in 14%. This author observed various cases of fissured tongue in psoriasis vulgaris (30.4%) but his study also demonstrated a higher frequency of fissured tongue (53.8%) in generalized pustular forms.…”

Melkersson-Rosenthal syndrome associated with psoriasis vulgaris and orofacial impetiginization

“…Although psoriasis is a relatively common chronic skin disease (affects 2-3 % of the US population) [6], we think psoriasis in association with the MRS is not coincidental. Plicated tongue, which is believed to be a physiological variant (incidence is estimated about 10-15 % of normal population) [4] -is at the same time a part of the classic MRS triad and is more frequent in psoriatic patients [7]. Melkersson-Rosenthal syndrome is a rare disorder and should be considered in the differential diagnosis of labial swelling and facial palsy.…”