Pathology · single question

Fissured tongue is frequently associated with which other tongue condition?

  1. Geographic tongue (benign migratory glossitis)
  2. Hairy tongue
  3. Macroglossia
  4. Bald tongue (atrophic glossitis)
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Correct answer: A. Geographic tongue (benign migratory glossitis)

Fissured tongue (scrotal tongue or lingua plicata) is a benign developmental condition characterized by grooves or fissures on the dorsal tongue surface. It frequently coexists with geographic tongue (benign migratory glossitis), and together they are known as 'geographic-fissured tongue.' Both are benign, self-limiting conditions requiring no treatment unless symptomatic. Fissured tongue is also associated with Melkersson-Rosenthal syndrome (triad: recurring orofacial edema, recurrent facial palsy, and fissured tongue). Patients with fissured tongue should maintain good tongue hygiene by gentle brushing to prevent food accumulation in the fissures.

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