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Updated: Jul 10, 2025

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Objectification of Tongue Diagnosis in Traditional Medicine, Data Analysis, and Study Application
Published on: April 14, 2023
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Geographic tongue: What is this disease?
1Division of Dermatology, Tsuruse Orthopedic Clinic, Saitama, Japan.
Summary
Geographic tongue, a benign migratory glossitis, presents a map-like tongue appearance. Recent literature suggests oral bacteria may play a role in this condition, potentially linking it to psoriasis.
Area of Science:
- Oral Medicine
- Dermatology
- Microbiology
Background:
- Geographic tongue (benign migratory glossitis) is a common, benign oral condition characterized by a map-like appearance on the tongue due to filiform papillae atrophy.
- The etiology of geographic tongue is largely unknown, but associations with systemic conditions like psoriasis and the oral microbiome have been suggested.
- Histological similarities between geographic tongue and psoriasis lesions have been noted, prompting further investigation into shared underlying mechanisms.
Purpose of the Study:
- To review and discuss recent findings regarding the potential involvement of oral bacteria in the etiology of geographic tongue.
- To explore the association between geographic tongue and psoriasis in light of emerging microbiological evidence.
- To provide an overview of the current literature on the role of lingual microbiota in benign migratory glossitis.
Main Methods:
- Literature review of recent studies investigating the oral microbiome in patients with geographic tongue.
- Analysis of research exploring the connection between geographic tongue and psoriasis, focusing on histological and microbiological data.
- Synthesis of findings related to specific oral bacteria implicated in the pathogenesis of benign migratory glossitis.
Main Results:
- Emerging evidence points towards the involvement of specific oral bacteria in the development or exacerbation of geographic tongue.
- The previously observed association between geographic tongue and psoriasis is being re-examined through a microbiological lens.
- Studies indicate potential shared etiological factors, possibly microbial, between these two conditions.
Conclusions:
- Oral bacteria are increasingly recognized as potential contributors to the pathogenesis of geographic tongue.
- Further research into the lingual microbiota may elucidate the mechanisms underlying geographic tongue and its association with psoriasis.
- Understanding the role of oral bacteria could lead to novel diagnostic or therapeutic approaches for benign migratory glossitis.
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