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Geographic tongue — NDEB AFK MCQ

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ModerateOral PathologyGeographic tongueNDEB AFK

A 32-year-old has recurrent migrating red patches on the dorsum of the tongue with white serpiginous borders. Lesions change location over weeks and mild burning occurs with spicy foods. What is the most likely diagnosis?

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Correct answer: E — Benign migratory glossitis

Migrating erythematous tongue patches with serpiginous white borders are characteristic of benign migratory glossitis, or geographic tongue. Squamous cell carcinoma would not migrate and would usually persist in one site. The pearl is that reassurance is appropriate when the presentation is typical, with symptomatic measures if burning is troublesome.

Reference: Canadian oral medicine reference texts; NDEB KSAs 2024