Geographic Tongue

A 66-year-old female presented with a chief complaint of glossal erythema with daily changes in position and shape. She was anxious about the possibility of malignancy. After periodically self-inspecting her tongue using a mirror for one year, the patient noted gradually enlarging erythematous macules that fused to form larger patches and moved from one area of the tongue to another. There was no noted pain or dysgeusia, and the patient had an unremarkable medical history. Based on its pathognomonic history and clinical features, the condition was diagnosed as geographic tongue. The patient was reassured that the lesion was benign. It improved after four weeks of proper dental hygiene with a toothbrush and tongue scraper.[1]