GEOGRAPHIC TONGUE
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I had a new case of Geographic tongue today and the patient had already
tried oral antifungals. He has no history of skin problems and no other
findings noted today. 
I was wondering if there is any new ideas on this condition. Would
excessive vitamin ingestion cause this?

Treatment ideas would be helpful.

Marty Kay
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Geographic tongue is in some ways like psoriasis so I treated one patient
with Dovonex ointment, applied for 15 minutes bid on a piece of gauze. It
worked quite well, but was a nuisance and she didn't like that taste, so we
wound up doing nothing.

Kevin C. Smith MD FRCPC
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If the geographic tongue is symptomatic try hydrocortisone crystals in
benadryl elixir swish four times a day- the steroid will help the
"psoriasis forme fruste" and the benadryl will numb things for a
while.

Diane Thaler
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