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Geographic Tongue Presentation — NDEB AFK MCQ

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EasyOral MedicineGeographic Tongue PresentationNDEB AFK

Which of the following describes the characteristic presentation of geographic tongue (benign migratory glossitis)?

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Correct answer: EMigratory red patches with white-yellow raised serpiginous borders on the dorsal tongue that change position over days to weeks

Geographic tongue presents with erythematous patches (areas of filiform papillae desquamation) bordered by white-yellow, slightly raised, serpiginous margins on the dorsal and lateral tongue surfaces. The patches characteristically migrate (change position) over days to weeks — hence 'migratory glossitis.' It is benign, affects 1-3% of the population, is associated with fissured tongue and psoriasis, and no treatment is required unless symptomatic (occasional burning sensation with spicy/acidic foods).

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016