Geographical Tongue can be congenital or acquired. If it is present since birth and it is harmless, but may be permanent. Smoking, alcoholism and prolonged use of certain medicines like antibiotics, immunosuppressive medicines, steroid inhalers etc may also lead to white spots on tongue due to papillae inflammation and cause a Geographical Tongue. Here if the causative factor is removed, then the condition may revert back to a normal tongue.
My mom said my brother and I were born with it, mine went away and hasnt come back until now (im 26yrs old) but he has had it almost all the time since he was a child. Does it tend to come and go or is it usually persistent it the cause it congenital?
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