Which tests would you run on a coated tongue to cover all possible infectious causes?
Dec 19, 2003
Thanks for your answer on coated tongues. Which cultures would you do to cover the spectrum of possible infections that it could represent? In addition to the thick coating, I have had geographic tongue every day since being infected... do you see much geographic tongue in your practise and would you ever do a culture of this to see if there is a specific viral cause?
Many thanks. Regards,
Response from Dr. Boyle
If the diagnosis is geographic tongue that is a benign condition and does not require further evaluation. As far as other tests, that would depend upon what you rongue actually looks like, but if you have a whitish coating a fungal smear/culture of the material is a reasonable starting point. Some other tests might include a syphilis test or biopsy.
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