history of an erythematous, atrophic area on the dorsum of the tongue
Orofacial granulomatosis (OFG: also known as Melkersson-Rosenthal syndrome, Cheilitis Granulomatosis, and Schuermann`s Glossitis Granulomatosa) is an uncommon inflammatory condition effecting the face and lips.
Patient will be a vegan Complaining of fatigue, weakness and peripheral neuropathy PE will show pallor and glossitis Labs will show MCV > 100, hypersegmented neutrophils, elevated homocysteine, elevated methylmalonic acid Treatment is parenteral vitamin B12 Comments: only vitamin B12 deficiency results in neurological symptoms
Does your tongue look like a map which changes in appearance after every few days or weeks? You may have geographic tongue. Also known as “erythema migrans” and “benign migratory glossitis”, it’s nothing serious — there is no evidence that geographic tongue is linked to bigger oral problems such as cancer. Geographic tongue is not …