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The Scientific World Journal
Volume 2015, Article ID 564326, 7 pages
Research Article

Geographic Tongue and Fissured Tongue in 348 Patients with Psoriasis: Correlation with Disease Severity

1Hospital Universitário Antonio Pedro, Faculdade de Medicina, Departamento de Patologia, Universidade Federal Fluminense, Rua Marques de Parana 303, 4° Andar, 24033-900 Niteroi, Rio de Janeiro, RJ, Brazil
2Sector of Dermatology, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
3Department of Dermatology Rubem David Azulay, Santa Casa da Misericórdia, Rio de Janeiro, Brazil
4Department of Dermatology, Universidade Federal Fluminense, Rio de Janeiro, Brazil

Received 31 July 2014; Revised 23 December 2014; Accepted 27 December 2014

Academic Editor: Uwe Wollina

Copyright © 2015 Bruna L. S. Picciani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Geographic tongue (GT) and fissured tongue (FT) are the more frequent oral lesions in patients with psoriasis. The aims of this study were to compare the prevalence of GT/FT between psoriasis group (PG) and healthy controls (HC) and investigate the correlation between GT/FT and psoriasis severity using the PASI and age of psoriasis onset. Three hundred and forty-eight PG and 348 HC were selected. According to the age of psoriasis onset, the individuals were classified as having early psoriasis and late psoriasis. The severity of vulgaris psoriasis was determined according to PASI. A follow-up was conducted in patients with psoriasis vulgaris (PV) with GT to evaluate the progression of oral and cutaneous lesions. The FT and GT were more frequent in PG than in HC. The incidence of GT was higher in patients with early psoriasis and that of FT in late-psoriasis. There is association between psoriasis intensity and GT; and a higher monthly decrease of PASI score in patients without GT. The presence of GT and FT is higher in PG than in the HC. GT is associated with disease severity and may be a marker of the psoriasis severity.