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Geographic Tongue (Glossitis) and its Relationship with Celiac Disease
- By Dr. Ron Hoggan, Ed.D.
- Published 01/27/2011
- Geographic Tongue (Glossitis) and Celiac Disease
Dr. Ron Hoggan, Ed.D.
As co-author of "Dangerous Grains" and "Cereal Killers", the study of the impact of gluten continues to be a driving passion in my life. I am fascinated by the way that gluten induces illness and impedes learning while it alters mood, behavior, and a host of other facets of our existence. Sure, the impact of gluten on health is an important issue, but that is only the most obvious area of impact. Mood disturbances, learning disabilities, and the loss of quality of life due to psychiatric and neurological illness are even more tragic than the plethora of physical ailments that are caused or worsened by gluten. The further I go down this rabbit hole, the more I realize that grains are a good food for ruminants - not people. I am a retired school teacher. Over the last decade, I have done some college and university level teaching, but the bulk of my teaching career was spent working with high school students. My Web page is: www.DangerousGrains.comView all articles by Dr. Ron Hoggan, Ed.D.
Celiac.com 01/27/2011 - In response to a post on the celiac listserv stating that both a pediatrician and a dermatologist dismissed the possibility of a connection between previously diagnosed celiac disease and geographic tongue, I wrote the following:
One of several early mentions of geographic tongue (glossitis) in association with celiac disease may be found in the medical textbook "Coeliac Disease" by Cooke and Holmes, Churchill Livingstone, 1984, on pages 84 and 85 under the heading "glossitis". They say that it occurs, to a greater or lesser extent, "in a majority of celiac patients" (1).
Another very informative article on glossitis can be found at:
In this recent article from the New England Journal of Medicine (2007) the authors also state that the connection between celiac disease and glossitis is very common. They go on to say: "Our report should alert physicians and dental practitioners to consider celiac disease in managing cases of idiopathic atrophic glossitis." In other words, they want physicians and dentists to be aware that there may be underlying celiac disease when they encounter glossitis. This information is neither controversial nor difficult to locate. Celiac disease is not the only cause of glossitis, or geographic tongue, but it is a common and long acknowledged symptom of celiac disease, with mention of this connection in the medical literature at least as early as 1974.
My own experience with glossitis is that most of my problems went away when I began a GF diet. The remainder of my glossitis resolved after getting IgG food allergy testing from Immuno Labs in Ft. Lauderdale, and removing all identified allergenic foods from my diet. (I have since re-introduced some of these foods but I avoided them for about 5 years. ( 12 years later, I still have to avoid some of the foods identified by that testing.)
My questions/concerns are:
- Is your daughter eating gluten? Is it possible that there is gluten contamination in her diet?
- Is she eating oats? A significant portion of celiac patients do react to oats, yet oat consumption is now widely advocated.
- Has she had testing for common food allergies? If she is strictly GF and avoiding oats, then food allergy testing may provide her with the the information she needs to eliminate this source of her discomfort.
- Cooke WT, Holmes GKT. Coeliac Disease. Churchill Livingstone, NY, 1984
- Pastore L & Lo Muzio L. Atrophic Glossitis Leading to the Diagnosis of Celiac DiseaseN Engl J Med 2007; 356:2547June 14, 2007
- Lampert F, Harms K, Bidlingmaier F, Kiefhaber P, Meister P.Pernicious anemia with dermatologic and neurologic involvement in a 10-year-old boy. Monatsschr Kinderheilkd. 1974 May;122(5):217-20.
- Barry RE, Baker P, Read AE.Coeliac disease. The clinical presentation. Clin Gastroenterol. 1974 Jan;3(1):55-69
I hope this helps.
Ron Hoggan, Ed. D.
Royal Roads University, Continuing Studies
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