Isolated Migratory Stomatitis: Report of A Rare Case

Introduction: Geographic stomatitis is a rare benign inflammatory lesion of the oral mucosa. The most common involved site is the tongue but any area of oral mucosa can be affected. Regarding its rarity and, sometimes, its inchoate clinical appearance, this condition remains not well-known by the physicians. What motivated this article. The aim was to examine the clinical and histological features of this condition and it'is therapeutic approach by reporting a case of geographic stomatitis in a young adult patient. Observation: A 27-year-old male patient consulted with the chief complain of periodental care. The oral examination revealed multiple erythematous asymptomatic areas in the oral mucosa. Clinical and histological finding confirmed the diagnosis of geographic stomatitis. Discussion: Geographic or migratory stomatitis represents a very rare benign condition affecting 1% of the population, most commonly the females. Its etiology remains unknown. It usually involves the tongue surface and known as geographic tongue, but can also affect some ectopic areas such as labial and buccal mucosa, soft palate, vestibule and flour of the mouth. The clinical features are pathognomonic and can lead to the diagnosis but the histological examination remains necessary for the diagnosis confirmation. It showed parakeratosis and elongation of rete ridges, in addition to an inflammatory infiltrate with the characteristic Munro microabscesses and pustules of Kogoj. Treatment of this lesion depends on symptoms; therefore the abstention is the usual attitude.