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geographic tongue
ICD-10 Codes
Related ICD-10:
Description
Geographic tongue, also known as benign migratory glossitis, is an inflammatory disorder that affects the tongue.
Symptoms
The main symptom of geographic tongue is the presence of uneven red patches on the top, sides, and underside of your tongue [3]. These patches can be smooth, red, irregularly shaped, and may look like a map-like appearance [4][9]. They are usually painless, but in some cases, you might experience mild discomfort or tenderness [7].
Characteristics
Geographic tongue is characterized by irregular patches on the surface of the tongue, which can be surrounded by white lines [5]. The patches can be smooth and swollen, and may change shape over time. They are usually found on the top and sides of the tongue, but can also occur on the underside.
Prevalence
Geographic tongue is a relatively common condition, affecting up to 3% of the general population [6].
Note: The information provided above is based on the search results and context provided.
Additional Characteristics
- painless
- uneven red patches
- smooth, red, irregularly shaped
- a map-like appearance
- mild discomfort or tenderness
- irregular patches surrounded by white lines
- smooth and swollen
Signs and Symptoms
Geographic tongue, also known as benign migratory glossitis, is characterized by its unique appearance on the surface of the tongue. The symptoms of this condition include:
- Irregular, island-shaped red lesions: These smooth patches can be sensitive to touch or temperature changes [6].
- Reddish patches on the top or side of your tongue: These patches may look like sores and can change shape over time [1].
- Frequent changes in the appearance of the patches: The size, shape, and color of the red lesions can vary from day to day [1].
- Bald, red areas surrounded by an irregular white border: This is a common description of the affected area on the tongue [5].
It's worth noting that some people may experience discomfort, pain, or burning sensations in their mouth due to geographic tongue. However, these symptoms are usually mild and temporary [10]. Despite its appearance, geographic tongue is a benign condition that does not cause any long-term harm.
References: [1] - Context result 1 [5] - Context result 5 [6] - Context result 6 [10] - Context result 10
Additional Symptoms
- Irregular, island-shaped red lesions
- Reddish patches on the top or side of your tongue
- Frequent changes in the appearance of the patches
- Bald, red areas surrounded by an irregular white border
Diagnostic Tests
Geographic tongue, also known as benign migratory glossitis, can be diagnosed through a simple examination of the tongue by a doctor or dentist.
- Visual Examination: An experienced dental professional can diagnose geographic tongue just by looking at the way it appears on the tongue, its location, and your description of it [4].
- Clinical Examination: Your health care provider will examine your tongue to diagnose this condition. Most of the time, tests are not needed [5].
- Blood Tests: While not usually necessary, blood tests may be used to look for markers of inflammation, infection, or nutritional deficiencies [9].
It's worth noting that a biopsy is not typically required to diagnose geographic tongue, given its characteristic clinical presentation [8].
Additional Diagnostic Tests
- Blood Tests
- Clinical Examination
- Visual Examination
Treatment
Geographic tongue, also known as benign migratory glossitis, can be managed with various drug treatments to alleviate symptoms such as pain and sensitivity.
- Pain relievers: Over-the-counter pain medications like acetaminophen or ibuprofen may be recommended by doctors to help manage discomfort [1].
- Mouth rinses: Numbing mouth rinses containing ingredients like benzocaine or lidocaine can provide temporary relief from pain and sensitivity [2].
- Antihistamine mouth rinses: Antihistamines, such as diphenhydramine, may be used in mouth rinses to help reduce itching and inflammation [3].
In addition to these treatments, corticosteroids have been considered effective for managing geographic tongue. Specifically:
- Triamcinolone acetonide: This corticosteroid has been found to be an effective option for treating geographic tongue [4].
- Tacrolimus: Topical application of 0.1% tacrolimus has also been helpful in the treatment of geographic tongue, particularly in children [5].
It's worth noting that while these treatments can provide relief from symptoms, there is no definitive cure for geographic tongue. The condition often resolves on its own with time.
References:
[1] Context result 1: "To manage pain or sensitivity, your doctor may recommend medicines such as: Pain relievers available without a prescription."
[2] Context result 4: "Mouth rinses that numb the area."
[3] Context result 1: "Antihistamine mouth rinses."
[4] Context result 9: "Corticosteroids are considered effective among the available options. Triamcinolone acetonide is..."
[5] Context result 11: "Topical application of 0.1% tacrolimus is helpful in the treatment of geographic tongue."
Recommended Medications
- triamcinolone acetonide
- benzocaine
- Benzocaine
- lidocaine
- Lidocaine
- ibuprofen
- Ibuprofen
- diphenhydramine
- Diphenhydramine
- Acetaminophen
- paracetamol
- Tacrolimus
- tacrolimus hydrate
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
The differential diagnosis for geographic tongue involves ruling out other conditions that may present similar symptoms. Based on the search results, here are some possible conditions to consider:
- Oral candidiasis: This is a fungal infection that can cause white patches on the tongue, which may be mistaken for geographic tongue [1].
- Lichen planus: A chronic inflammatory condition that can affect the mucous membranes, including the tongue, and may present with similar symptoms to geographic tongue [2][7].
- Leukoplakia: A condition characterized by white patches or plaques on the tongue, which can be a precursor to cancer [5].
- Oral psoriasis (rare): Psoriasis is an autoimmune condition that can affect the skin and mucous membranes, including the tongue [1].
- Trauma: Physical trauma to the tongue can cause inflammation and white patches, which may be mistaken for geographic tongue [3][7].
- Herpes simplex: A viral infection that can cause oral lesions, including on the tongue [3].
- Systemic lupus erythematosus: An autoimmune condition that can affect multiple systems in the body, including the mucous membranes [7].
It's worth noting that geographic tongue is a harmless condition, and most cases are self-healing. However, if you're experiencing symptoms of geographic tongue, it's essential to consult with a healthcare professional for an accurate diagnosis and treatment plan.
References: [1] - Search result 1 [2] - Search result 2 [3] - Search result 3 [5] - Search result 5 [7] - Search result 7
Additional Differential Diagnoses
- Leukoplakia
- Trauma
- Oral psoriasis (rare)
- oral candidiasis
- herpes simplex
- systemic lupus erythematosus
- lichen planus
- oral hairy leukoplakia
- fissured tongue
- obsolete gonococcal keratosis
- atrophic glossitis
- glossitis
Additional Information
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- disease_ontology
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- OMIM mapping confirmed by DO. [SN].
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- An atrophic glossitis that is characterized as an inflammatory condition of the mucous membrane of the tongue, usually on the dorsal surface.
- oboInOwl#hasExactSynonym
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- geographic tongue
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- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_1453
- relatedICD
- http://example.org/icd10/K14.1
- 22-rdf-syntax-ns#type
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- https://w3id.org/def/predibionto#has_symptom_8996
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- t413560
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.