PMID- 27131886 OWN - NLM STAT- MEDLINE DCOM- 20170724 LR - 20220331 IS - 1600-0714 (Electronic) IS - 0904-2512 (Linking) VI - 45 IP - 10 DP - 2016 Nov TI - The prevalence of celiac disease in patients with geographic tongue. PG - 791-796 LID - 10.1111/jop.12450 [doi] AB - BACKGROUND: Geographic tongue (GT) is a benign inflammatory condition usually involving the dorsal surface and lateral borders of the tongue. Numerous etiological factors of GT have been suggested, including immunological factors; genetic; atopic or allergic predisposition; emotional stress; and hormonal disturbances. GT may also coexist as one of the possible manifestations of celiac disease (CD). Therefore, the aim of this study was to investigate the prevalence of CD, positive serologic tests for CD screening, and HLA-DQ presence in patients with GT. METHODS: Tissue transglutaminase antibodies (anti-tTG), antibodies against gliadin (AGA), and human leukocyte antigen (HLA) typing were assessed for 60 GT patients and 60 healthy control subjects. The duodenal biopsy was performed in patients with positive serologic tests. RESULTS: We found that 9 (15%) GT patients were positive for IgA tTG, and in those patients histological changes consistent with CD were confirmed by duodenal biopsy. Only two of them reported the presence of gastrointestinal symptoms. There were statistically significant differences between the GT patients and control group for immunoglobulin (Ig) A tTG (P = 0.03), IgG tTG (P = 0.04), IgA AGA (P = 0.04), and IgG AGA (P = 0.02). CONCLUSION: The results of our study demonstrated the increased prevalence of CD in patients with GT. Therefore, the clinical oral examination should be considered a diagnostic tool, especially in atypical or silent forms of CD, since it may contribute to provide an early diagnosis. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Cigic, Livia AU - Cigic L AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. liviacigic@yahoo.com, lcigic@mefst.hr. FAU - Galic, Tea AU - Galic T AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. FAU - Kero, Darko AU - Kero D AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. FAU - Simunic, Miroslav AU - Simunic M AD - School of Medicine, University of Split, Split, Croatia. AD - Clinical Department of Internal Medicine, University Clinic of Split, Split, Croatia. FAU - Medvedec Mikic, Ivana AU - Medvedec Mikic I AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. FAU - Kalibovic Govorko, Danijela AU - Kalibovic Govorko D AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. FAU - Biocina Lukenda, Dolores AU - Biocina Lukenda D AD - Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia. AD - Dental clinic Split, Split, Croatia. LA - eng PT - Journal Article DEP - 20160501 PL - Denmark TA - J Oral Pathol Med JT - Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology JID - 8911934 SB - IM MH - Adult MH - Aged MH - Anemia, Iron-Deficiency/epidemiology/immunology MH - Biopsy MH - Celiac Disease/diagnosis/*epidemiology/immunology MH - Female MH - Finland/epidemiology MH - Glossitis, Benign Migratory/diagnosis/*epidemiology/immunology MH - Histocompatibility Testing MH - Humans MH - Male MH - Middle Aged MH - Prevalence OTO - NOTNLM OT - antibodies to gliadin OT - celiac disease OT - duodenal biopsy OT - geographic tongue OT - tissue transglutaminase antibodies EDAT- 2016/10/27 06:00 MHDA- 2017/07/25 06:00 CRDT- 2016/05/02 06:00 PHST- 2016/03/24 00:00 [accepted] PHST- 2016/10/27 06:00 [pubmed] PHST- 2017/07/25 06:00 [medline] PHST- 2016/05/02 06:00 [entrez] AID - 10.1111/jop.12450 [doi] PST - ppublish SO - J Oral Pathol Med. 2016 Nov;45(10):791-796. doi: 10.1111/jop.12450. Epub 2016 May 1.