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. 2004 Nov 4;4(1):16.
doi: 10.1186/1471-5945-4-16.

Tongue lesions in psoriasis: a controlled study

Maryam Daneshpazhooh  1 , Homayoon Moslehi, Maryam Akhyani, Marjan Etesami
Affiliations

Tongue lesions in psoriasis: a controlled study

Maryam Daneshpazhooh et al. BMC Dermatol. .

Abstract

Background: Our objective was to study tongue lesions and their significance in psoriatic patients.

Methods: The oral mucosa was examined in 200 psoriatic patients presenting to Razi Hospital in Tehran, Iran, and 200 matched controls.

Results: Fissured tongue (FT) and benign migratory glossitis (BMG) were the two most frequent findings. FT was seen more frequently in psoriatic patients (n = 66, 33%) than the control group (n = 19, 9.5%) [odds ratio (OR): 4.69; 95% confidence interval (CI): 2.61-8.52] (p-value < 0.0001). BMG, too, was significantly more frequent in psoriatic patients (28 cases, 14%) than the control group (12 cases, 6%) (OR: 2.55; 95% CI: 1.20-5.50) (p-value < 0.012). In 11 patients (5.5%), FT and BMG coexisted. FT was more frequent in pustular psoriasis (7 cases, 53.8%) than erythemato-squamous types (56 cases, 30.4%). On the other hand, the frequency of BMG increased with the severity of psoriasis in plaque-type psoriasis assessed by psoriasis area and severity index (PASI) score.

Conclusions: Nonspecific tongue lesions are frequently observed in psoriasis. Further studies are recommended to substantiate the clinical significance of these seemingly nonspecific findings in suspected psoriatic cases.

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