Tongue disorders

Question 1

Geographical tongue (erythema migrans)

Answer 1

Consider excess stress, tobacco, marijuana and spicy foods (may aggravate).

Explanation and reassurance—a self-limiting condition

No treatment if asymptomatic

Cepacaine gargles, 10 mL tds, if tender

If persistent and troublesome, low-dose inhaled glucocorticoid (e.g. beclomethasone 50 mcg tds) (don’t rinse after use)