Erythematous Oral Lesions: When to Treat, When to Leave ... Similar Threads. AU - Menni,S, AU - Boccardi,D, AU - Crosti,C, PY - 2004/10/16/pubmed PY - 2005/2/18/medline PY - 2004/10/16/entrez SP - 737 EP - 8 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 18 IS - 6 SN - 0926-9959 UR - https://neuro.unboundmedicine.com . In most cases, surgical removal and microscopic study (biopsy) of affected tissue is not necessary because of the distinct appearance of the tongue. The tongue is normally covered with tiny, pinkish-white bumps (papillae), which are actually short, fine, hairlike projections. The treatment of glossitis is usually directed towards ways . Therapy. Geographic Tongue - Causes, Pictures, Symptoms, Treatment Lesions that are histologically indistinguishable from geographic tongue may also be diagnosed in reactive arthritis ( arthritis, uveitis / conjunctivitis and urethritis ). Treatment No treatment is indicated as the lesion is self limiting disease. Tongue is made up of many muscles. Cinnamon contact stomatitis 8. References. Definition Geographictongue, or erythema migrans, is a relatively common benign condition, primarilyaffecting the tongue and rarely other oral mucosa sites (geographicstomatitis) Etiology The exactetiology remains unknown. Linzon CD (1997) Scrotal glans penis (glans penis plicatum) associated with scrotal tongue (lingua plicata). Hereditary; Allergic (ACE) Idiopathic ; Mouth images. No therapy if asymptomatic; brushing of tongue with toothbrush to remove embedded debris. The upper surface contains the taste buds that act as the primary organ of taste. In equivocal cases, clinical differential diagnosis might include candidiasis, leukoplakia, lichen planus, and lupus erythematosus. Uremic stomatitis 7. Lichen Planus-Mucocutaneous disease of unknown cause * - Immunological mediated process -0.2-2% of the population-Possible relationship to SCC*-Adults-female-Any race-Skin, buccal mucosa, gingiva, tongue . 4. Geographic tongue , also known as benign migratory glossitis or erythema migrans, affects 1 to 14 percent of the U.S. population and is of unknown etiology.1, 2, 16 Although . Geographic tongue - Diagnosis and treatment - Mayo Clinic When to see a doctor. B12, Folate and/or Iron deficiency; Medication; Red flags. Geographic Tongue - NORD (National Organization for Rare ... Geographic tongue - treatment-Asymptomatic = None-Symptomatic = Topical steroids/antifungal . Cooke (1975) Br J Dermatol 93(4): 399-405 [PubMed] Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Median Rhomboid Glossitis." Click on the image (or right click) to open the source website in . Geographic tongue or erythema migrans presents as multiple, well-demarcated patches of erythema surrounded by a thin, raised, whitish border. Differentiating between. Management: No specific treatment is usually . The hepatitis B viral load was always kept below the lower level of . With geographic tongue, patches on the surface of the tongue are missing papillae and appear as smooth, red "islands," often with slightly raised borders. Geographic tongue is a benign recurrent condition of uncertain aetiology affecting the tongue characterized by loss of epithelium especially filiform papillae giving a characteristic appearance. Treatment Strategies for Geographic Tongue - Decisions in ... INTRA ORAL EXAM v During examination of the tongue and ventral surface of the tongue irregular shaped, flat, red patches were found. Treatment. Treatment: The patient is treated . In . Nonneoplastic Tongue Swellings of Lymphatic and ... 2-Fixed drug eruption. [2] A . The differential diagnosis of geographic tongue includes leukoplakia, lichen planus, and candidiasis. Definition and etiology : Geographic tongue or erythema migrans presents as multiple, well-demarcated patches of erythema surrounded by a thin, raised, whitish border. Geographic tongue: literature review and case reports The differential diagnosis for geographic tongue includes erythroplakia or candidiasis. Usually a swollen tongue, fissures on its surface or the absence of papillae may imply a case of glossitis but a proper diagnosis of the cause can be done with the help of a blood test in order to detect the underlying cause of the problem which may not be visible on the surface. Fissured tongue. Affiliation 1 Department of Oral Diagnostic Services, Howard University College of Dentistry, USA. In cases of atypical lesions, differential diagnosis of geographic tongue includes erythroplakia, lichen planus, candidiasis, contact stomatitis, leukoplakia, trauma, and aphthous ulcer. Differential diagnosis: Candida infection, chemical burns, syphilis patches depending upon the clinical appearance, geographic tongue, nutritional deficiencies, lichen planus, and traumatic ulcerations would be considerations. Geographic Tongue Article - StatPearls Note the . dentalaka: White Lesions of Oral Mucosa The red areas are missing the tiny bumps (papillae) that naturally appear on the surface of the tongue. Geographic tongue; Lichen planus; Denture-related pain *Must not miss! Differential Diagnosis. Mouth and Tongue pain - ProductiveMedic gingival hyperplasia Dentistry Case (pictures - Etiology - Treatment - Differential diagnosis) By Medical Videos in forum Dentistry and Oral Health . Glossitis Treatment. Geographic tongue is, as its name suggests, the appearance of the dorsum of the tongue resembling a changing 'map of the world'. See Thrush; VII. Saliva . differential diagnosis of pseudomembranous candidiasis (3) anemia erythroplakia geographic tongue. Differential diagnosis may include: • Fissured tongue • Median rhomboid glossitis • Hairy tongue • Cleft tongue • Lingual varices • Mucosal candidiasis • Thrush • Chemical burns • Lichen planus. bpass@howard.edu; PMID . This is seen in 1-3% of the population. Geographic tongue Fissured tongue Glossitissuch as caused by haematinic deficiency Diabetes Hypothyroidism Investigations may include psychological screening and laboratory screening. It occurs in approximately 1-2% of the population and affects men and women of all ages. Candidiasis 10. Nicotinic stomatitis 6. Other conditions, such as oral lichen planus, lupus erythematous and drug reactions, can occasionally mimic this condition. Patients often need to be assured that it is a benign process to alleviate their anxiety. Management. These features are compatible of geographic tongue and the diagnosis was established. 6 Treating geographic tongue with topical corticosteroids, topical anesthetic agents, and antihistamines may help alleviate symptoms, but no specific therapy has demonstrated consistent success. Angioedema. Orofacial pain: An update on differential diagnosis Amarinder Kaur1, Naureen Dhillon1, Simarpreet Singh2, Ramandeep Singh Gambhir3 . Geographic tongue: literature review and case reports. A biopsy is taken of the lesion and the uninvolved mucosa to rule out cancer. Differential diagnosis Geographic tongue should be differential from 1- Atrophic lichen planus. Glossitis Differential Diagnosis. GEOGRAPHIC TONGUE. Leukoplakia is caused by chronic irritation from rough teeth, improper fillings, tobacco use, smoking, or human immunodeficiency virus-associated oral hairy leukoplakia. Differential diagnosis includes pseudo-BHT, acanthosis nigricans, oral hairy leukoplakia, pigmented fungiform papillae of the tongue, and congenital melanocytic/melanotic nevi/macules. Measles (Koplik's . This condition is often seen in members of the same family but the genetic links are . Erythematous lesions of the oral mucosa are common and can reflect a variety of conditions, ranging from benign reactive or immunologically-mediated disorders to malignant disease. Hairy Tongue. This review focuses on salient clinical . Differential diagnosis Discoid lupus erythematosus, candidiasis, graft-versus-host disease, geographic tongue, leukoplakia, erythroplakia, cicatricial pemphigoid, pemphigus, bullous pemphigoid. SYMPTOMS v No reported . Check the full list of possible causes and conditions now! Lesions on the tongue resemple "geographic tongue". The first step in successful therapeutic management of a patient with an oral mucosal disease or lesion depends upon creating a differential diagnosis. During the exam, your physician or dentist may: Use a lighted instrument to check your tongue and mouth Ask you to move your tongue around in various positions In equivocal cases, a differential diagnosis might include candidiasis, lichen planus, contact stomatitis, chemical burns, Reiter syndrome, anemia, and squamous cell carcinoma. Lymphoma is the most common neoplastic mass found. The tongue's upper surface is also covered with numerous lingual papillae. Geographic tongue: literature review and case reports . Tes dengan sentuhan atau palpasi bisa dilakukan untuk memeriksa kondisi dan perubahan yang terjadi seperti pada tekstur atau konsistensi pada lidah. International Journal of Dermatology 36(10):762-763997 PubMed CrossRef Google Scholar . Talk to our Chatbot to narrow down your search. Geographic tongue is generally considered to be a variation in the normal appearance of the tongue, rather than a disease or abnormality. Differential Diagnoses Cancers of the Oral Mucosa Chemical Burns Contact Stomatitis Fissured Tongue Lichen Planus Mucosal Candidiasis Plaque Psoriasis Workup What to Read Next on Medscape Related. White hairs along the sides of the tongue are the classic appearance of oral hairy leukoplakia, the result of EBV infection in HIV-positive individuals. Lichen planus 3. With any unexplained lesion, oral cancer is always considered, although the center of the tongue is not a common area for malignancy. Geographic tongue (syn. Together with vascular abnormalities, which can vary from reddish to bluish-purple in color, the differential diagnosis for erythematous oral mucosal change is quite diverse. Talk to our Chatbot to narrow down your search. Other conditions . Oral psoriasis: red patches, geographic tongue, ulcerations, gingivitis or pustules Signs: Koebner phenomenon: new psoriatic papules at sites of skin trauma Auspitz sign: pinpoint bleeding when scales are removed Woronoff ring: an area of blanching surrounding resolving psoriatic plaques Diagnosis. Oral lesions occur in 20-40% of the cases. Treatment and Prognosis Geographic tongue is seen more commonly in people having fissured tongue. A case (Binmadi et al., 2010) of fissured tongue suggested several considerations that should be included for a differential diagnosis (see related sidebar). In most cases, GT is asymptomatic, and, because it is a benign condition, it does not require treatment. Treat underlying causes (esp. GEOGRAPHIC TONGUE. If you have a . Consult a doctor when the condition persists for longer than 10 days. Removal of the etiologic factor results in . Note the irregularly shaped reddish areas of depapillation surrounded by a narrow zone of regenerating papilae which is whiter than the surrounding tongue surface. Check the full list of possible causes and conditions now! It also helps to articulate speech. This course also includes both an interactive and downloadable decision tree to assist in the . Geographic tongue is a benign condition in which discolored, painless patches of the tongue appear and then reappear from atrophy, often in a different distribution. The prevalence is . In cases of atypical lesions, differential diagnosis of geographic tongue includes erythroplakia, lichen planus, candidiasis, contact stomatitis, leukoplakia, trauma, and aphthous ulcer. Hairy leukoplakia 2. benign migratory glossitis) Common, and of unknown aetiology. Migratory stomatitis may be encountered in both lingual and nonlingual forms. Aphthous stomatitis. Differential Diagnosis Based on clinical appearance, geographic tongue is usually diagnostic. Advertisement. TONGUE DIAGNOSIS Introduction Tongue is generally known as the organ of taste. Ranula. It may be genetic. This disease is characterized by erythematous areas showing raised greyish or white circinate lines or bands with irregular pattern on the dorsal surface of the tongue and depapillation. Differential Diagnosis. Hereditary; Allergic (ACE) Idiopathic ; Mouth images. TY - JOUR T1 - Painful geographic tongue (benign migratory glossitis) in a child. Anemia & Oral-blisters Symptom Checker: Possible causes include Pemphigus. These may be variable in number, depth and orientation. Erythema Migrans (Benign migratory glossitis, geographic tongue) Clinical features - Often asymptomatic, occasionally sore areas on the tongue, especially with acidic foods (e.g. Geographic tongue is a condition that causes a map-like pattern to appear on the tongue. Check the full list of possible causes and conditions now! Stomatitis migrans. The authors in the Binmadi study were able to attribute the fissuring to psoriasis and cautioned dental health-care providers to consider psoriasis in their differential diagnosis when appraising geographic tongue and tongues with noted . Geographic tongue (also known as benign migratory glossitis) is an inflammatory disorder that usually appears on the top and sides of the tongue. 44), which are also frequently associated with angular cheilitis. Treat with oral Antifungals for candida. Diagnosis Geographic Tongue. Diagnosis The differential diagnosis includes oral lichen planus, erythematous candidiasis, leukoplakia, lupus erythematosus, glossitis, and chemical burns. Ulceration > 3weeks ; Oral swellings > 3weeks; Sore throat > 3weeks; Red/white patches of the oral mucosa; Neutropenia; Investigations to consider. Differential diagnosis. The appearance changes over several days, much like the rotation of a spinning globe of the world. Differential diagnosis includes erythematous candidiasis, lupus erythematosus, oral lichen planus, atrophic glossitis and chemical burns. One case of Reiter's syndrome is described. The tongue has many pronounced grooves, and patients with this condition tend to be more sensitive to acidic beverages and spicy foods. In cases of atypical lesions, differential diagnosis of geographic tongue includes erythroplakia, lichen planus, candidiasis, contact stomatitis, leukoplakia, trauma, and aphthous ulcer. Treatment No treatment is needed in asymptomatic lesions. Diagnosis of the condition requires simple clinical examination and thorough knowledge of various signs and symptoms of geographic tongue. Pemeriksaan darah juga perlu . Geographic tongue , also known as benign migratory glossitis or erythema migrans, affects 1 to 14 percent of the U.S. population and is of unknown etiology.1, 2, 16 Although . The secondary functions of the tongue are to help swallowing and chewing the food. Differential Diagnosis. Differential diagnosis: The lesions are characteristic and differential diagnosis is not a problem. 10. 3-5. 31. Clinical examination Skin biopsy Xray if joints are affected Complete blood count, comprehensive . halitosis (hairy tongue and fissured tongue) bad taste in mouth (hairy tongue) discolouration (hairy tongue and fissured tongue) burning sensation (geographic tongue) Other diagnostic factors Risk factors tobacco use (hairy tongue) coffee/tea consumption (hairy tongue) poor oral hygiene (hairy tongue) Chronic . Herpes labialis. Leukoplakia is caused by chronic irritation from rough teeth, improper fillings, tobacco use, smoking, or human immuno-deficiency virus-associated oral hairy leukoplakia.Abiopsy is taken of the lesion and the uninvolved mucosa to rule out cancer. The condition may present clinically as a painful tongue, as a change in the surface appearance of the tongue (changes in texture and or color), or both. Geographic Tongue. Fissured tongue is a variation of normal and is sometimes called cat's tongue or scrotal tongue. Geographic Tongue. FBC, CRP/ESR; B12, Folate, Ferritin; Swab; Antibody screen; Viral serology . Characteristically, the lesions persist for a short time in one area, disappear within a few days, and then develop in another area. Geographic tongue (GT) . Dokter gigi akan menentukan diagnosis penyakit geographic tongue dengan pemeriksaan secara klinis dan pemeriksaan tanda-tanda lain yang muncul dengan menggunakan alat-alat kedokteran. Usually, no treatment is required apart from reassurance. The differential diagnosis of geographic tongue includes leukoplakia, lichen planus, and candidiasis. The clinical presentation may vary from asymptomatic to painful and burning ulceration. The excisional biopsy was performed at the Oral Surgery Department and the surgical specimen was submitted for microscopic examination in the Department of Oral and Maxillofacial Pathology, Faculty of Dental Medicine, Cairo University. - There are irregular, pink or red depapillated areas, sometimes surrounded by distinct yellowish slightly raised margins, which change in shape, increase in size, and spread or move to […] Lesions on the dorsal surface were similar. What is the treatment for geographic tongue? For symptomatic cases, use of topical corticosteroids, antihistamines . The dorsal surface of the tongue is the site of predilection, but infrequently the lesions may . Food debris accumulates in crevices and can . Measles (Koplik's . Geographic Tongue; VI. The condition is seen more commonly in adults than in children . Herpesgingiva. They appear as papules and ulcerations on the buccal mucosa, gingiva and lips. UMKC Dental School and Dr. Charles Dunlap and Dr. Bruce Barker. Herpesgingiva. Herpes labialis. Therapy with proton pump inhibitor and topical steroid (β-methasone) was started with moderate efficacy. Geographic tongue is usually diagnosed by its characteristic history and clinical features. A diagnosis of geographic tongue is made based upon a thorough clinical evaluation, a detailed patient history and the characteristic appearance of the tongue lesions associated with this disorder. 80-90% of lesions represent benign conditions and the prevalence of palpable cervical lymphadenopathy occurs in 28-55% of normal children. Following biopsy, treatment is wide local excision. The differential diagnosis includes chronic inflammation secondary to trauma, candidiasis, and erosive stomatitis. Geographic tongue; cheilitis granulomatosa. The diagnosis and differential diagnosis of oral white lesions should be made on the basis of the medical history, clinical features, and laboratory tests. 2005 Aug;24(8):54, 56-7; quiz 57. The differential diagnosis for geographic tongue includes: Oral candidiasis Oral psoriasis (rare) Oral lichen planus Trauma Herpes simplex Systemic lupus erythematosus Oral leukoplakia. TONGUE LESIONS Normal tongue variants Fissured tongue Black tongue Pigmented fungiform papillae Atrophic glossitis Black hairy tongue Geographic tongue Median rhomboid glossitis Granular cell tumor MISCELLANEOUS ORAL LESIONS Cheilitis Mucoceles Torus palatinus Minor salivary gland tumors Gingival overgrowth Oral fibroma Diagnosis: fissured tongue and geographic tongue with burning mouth related to intake of food and drink (eg, spicy foods and acidic beverages). Is geographic tongue hereditary? People with this condition have smooth, reddish patches surrounded by white borders on their tongues. The tongue's upper surface is also covered with numerous lingual papillae. Tongue laceration; Strawberry tongue; Black hairy tongue; Oropharyngeal candidiasis (oral thrush) Hairy Oral Leukoplakia; Tongue swelling Trauma; Angioedema. Description: Fissured tongue is a benign condition of the tongue, characterized by the presence of fissures and grooves along the dorsal surface. The differential diagnoses includes candidiasis, Reiter's syndrome, lichen planus, leukoplakia, . The objective in presenting the case report and literature review is . Geographic Tongue . The appearance of the affected portion of the tongue results from loss of the finger . In most cases, GT is asymptomatic, and, because it is a benign condition, it does not require treatment. Chemical burn 9. Talk to our Chatbot to narrow down your search. 1.1 Tongue diagnoses; 1.2 Mouth images; 2 See Also; Differential Diagnosis Tongue diagnoses. Geographic tongue is an inflammatory but harmless condition affecting the surface of your tongue. differential diagnosis of hyperplastic candidiasis (2) - Identify predisposing factor and eliminate - Inspect dentures/OH/new denture - Correct vit defs (iron b12) - Antifungal meds - if no response, refer to . Linea alba 5. Anaemia. - Geographic tongue - Fissured tongue 1 - Mucoceles - Infected lymphangioma of the tongue - Thrush (oral candidiasis) in an infant - Herpetic stomatitis - Cold sore - Angular cheilitis (perlèche) - Angular cheilitis - Lip freckling - Peutz-Jeghers oral lesions - Ranula - Lip hemangioma - Pyogenic granuloma lip - Traumatic ulcer 2 - Aphthous ulcers - Hand-foot-and-mouth disease - lip and hand . 5,6 The differential diagnosis for geographic tongue includes erythroplakia or candidiasis. It also helps to articulate speech. Complications. TONGUE DIAGNOSIS Introduction Tongue is generally known as the organ of taste. DESCRIPTION OF LESION Most predominate lesion was found on the ventral surface this was 4 mm by 3 mm , flat, red, with a white boarder around lesion (ring like). Geographic tongue. The differential diagnosis may include, but is not limited to, cystic, neoplasm (benign and malignant), or iatrogenic (e.g., radiotherapy) (Supplementary Table 1) [12]. Flat with a more red appearance. The upper surface contains the taste buds that act as the primary organ of taste. Geographic tongue (Benign migratory glossitis, erythema migrans) is an asymptomatic inflam - matory disorder of tongue of unknown etiology. A biopsy may be needed to confirm the clinical diagnosis when the clinical presentation is not readily apparent. Differential diagnosis. Tongue laceration; Strawberry tongue; Black hairy tongue; Oropharyngeal candidiasis (oral thrush) Hairy Oral Leukoplakia; Tongue swelling Trauma; Angioedema. Establishing chronicity and the presence of infection is central to establishing the diagnosis. Angioedema. Geographic-tongue Symptom Checker: Possible causes include Geographic Tongue. Peak incidence is after the sixth decade, with a male preponderance. Differential Diagnosis: There is no significant differential diagnosis to hairy tongue. This review aims to describe the most common pseudolesions of oral soft tissues, their possible differential diagnosis and eventual related systemic diseases or syndromes. [2][3][4] Erythroplakia Lichen planus Candidiasis Contact stomatitis Leukoplakia Trauma Aphthous ulcer Squamous cell cancer Plaque psoriasis Prognosis Diagnosis Your physician or dentist can usually make a diagnosis of geographic tongue based on an examination of your tongue and your signs and symptoms. Differential diagnosis: Chemical burns; Contact stomatitis; Lichen planus; Candidiasis; Image: Caption : Figure 1: Geographic tongue (Benign migratory glossitis). The pseudolesions frequently observed in clinical practice and reported in literature include Fordyce granules, leukoedema, geographic tongue, fissured tongue, sublingual varices, lingual fimbriae, vallate papillae, white . Detailed history and . Geographic tongue: literature review and case reports Dent Today. The differential is wide and includes inflammatory, congenital and neoplastic lesions. Areas of red atrophic patches are surrounded by white elevated keratotic margins, giving the appearance of continents surrounded by water (Figure 8). Only rarely might a biopsy be required for a definitive diagnosis. 3-5. Ranula. Clinical features Clinically, the condition is characterized bymultiple, well-demarcated, erythematous, depapillated patches . Saliva . Geographic tongue (benign migratory glossitis) Description: . 1.1 Tongue diagnoses; 1.2 Mouth images; 2 See Also; Differential Diagnosis Tongue diagnoses. Fisher BK. Oral Medicine White Lesions Leukoplakia 1. For symptomatic cases, use of topical corticosteroids, antihistamines . Differential diagnosis: Median rhomboid glossitis, geographic tongue, strawberry tongue (Scarlet fever) Candidiasis/denture stomatitis : Oral candidiasis, a fungal infection is a very common complication of dry mouth. tomatoes). Management. 1- In apprehensive and cancerphobic patient reassurance is required. Syphilitic Glossitis causes longitudinal Tongue furrows; VIII. Geographic Tongue; Melkersson-Rosenthal Syndrome (rare) Triad of Fissured Tongue, relapsing facial edema, Facial Nerve Palsy; VII. differential diagnosis of erythematous candidosis (3) 1. carcinoma 2. leukoplakia. The significance of the clinical lesions, their microscopic appearance and the differential diagnosis are discussed. Geographic tongue (GT) . Characteristically, the lesions persist for a short time in one area, disappear within a few days, and then develop in another area. Since both Vitamin B12 and folate deficiencies exhibit macrocytic hyperchromic anemia, it is necessary to perform serum folate and B12 determinations in order to distinguish . As a differential diagnosis, fibroma, lymphoid hyperplasia, lymphoepithelial cyst, choristoma, lymphoma, and salivary gland neoplasm were included. 2-If the patient is . Glossitis is an overarching term denoting inflammation of the tongue. Geographic tongue is usually diagnosed by its characteristic history and clinical features. A similar clinical appearance of the tongue mucosa may be seen in Vitamin B complex deficiencies and iron deficiency anemia (Fig. Oral cancer; HIV *Easily missed. Lichenoid reactions 4. Geographic tongue - Differential diagnosis-Candidiasis-Lichen Planus-Vitamin B deficiency-DLE. The secondary functions of the tongue are to help swallowing and chewing the food. Authors Barry Pass 1 , Ronald S Brown, Esther L B Childers. Typically, affected tongues have a bald, red area of varying sizes that is surrounded, at least in part, by an irregular white border (see Right). Geographic tongue is less common in children. Rawal Symptom Checker: Possible causes include Acute Alcohol Intoxication. Xerostomia) Stroke Tongue 15x with Tooth Brush after meals, bedtime; IX. The main characteristic features of geographic tongue is the continuous daily migration of the lesion. There is no cure for geographic tongue. References. Aphthous stomatitis. It has an association with fissured tongue and an inverse association with cigarette smoking Characterised by irregularly shaped red, smooth, swollen patches on the tongue, often with a white border, giving rise to a map-like appearance Sinusitis Sinusitis is defined as an inflammation of the epithelial lining of . V. Differential Diagnosis. Figure 2: Geographic tongue or Benign migratory glossitis. [1] Anatomy The tongue is a muscular organ in the oral cavity, which is essential for normal swallowing and speech. Outcome and follow-up. Differential Diagnosis. Benign migratory glossitis, or geographic . In equivocal cases, a differential diagnosis might include candidiasis, lichen planus, contact stomatitis, chemical burns, Reiter syndrome, anemia, and squamous cell carcinoma. The dorsal surface of the tongue is the site of predilection, but infrequently the lesions may appear at other mucosal . The primary goal of this course is to help you learn the process of clinical differential diagnosis of diseases and lesions of the oral mucosa. Differential diagnoses of oral candidiasis include: Erythema migrans (also known as geographic tongue or benign migratory glossitis) — an inflammatory disorder affecting 1-3% of the population. Tongue is made up of many muscles. Clinical . 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