You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is This patient was a former smoker and was being treated for essential hypertension, hypercholesterolemia, and hyperuricemia. Oral examination during the three follow up visits are being shown What is the most likely diagnosis of the tongue involvement? and explain in detail?
Ans. A. Geographic tongue* Geographic tongue, also known as benign migratory glossitis and migratory stomatitis, is the correct answer.* The changing lesions are suggestive of a geographic map (hence geographic tongue) with pink continents surrounded by whiter oceans.* It is a recurrent, benign, usually asymptomatic, inflammatory condition, of unknown etiology, of the tongue, affecting nearly 2% of the general population.* Geographic tongue typically presents with migratory red lingual patches, which are irregularly shaped erythematous patches bordered by a white keratotic band. Tongue lesions exhibit central erythema because of atrophy of the filiform papillae of tongue epithelium.* Lesions may last days, months, or years. THE LESIONS DO NOT SCAR.* It being a benign asymptomatic condition, therefore requires no treatment.