Materiały źródłowe

• #1 Geographic Tongue: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21177-geographic-tongue

  Probably not. Healthcare providers arent sure what causes geographic tongue, but they believe people with certain conditions, like diabetes or skin issues, have increased risk of developing geographic tongue. […] You may be able to reduce your risk by eating a healthy diet that contains enough zinc, folic acid, iron and vitamins B6 and B12 and managing your stress.

• #2 Geographic Tongue | Smiles for Life Oral Health

  https://www.smilesforlifeoralhealth.org/topic/geographic-tongue/

  Geographic tongue, also known as Erythema Migrans or benign migratory glossitis, is of uncertain etiology. Areas of erythema with discrete white borders appear due to atrophy of the filiform papillae. Usually seen on the dorsal surface of the tongue, but other oral sites such as the buccal mucosa may be involved. Geographic tongue is associated with fissured tongue. […] Treatment: Normal variant, reassurance only. Typically no treatment is required. Topical steroid gels and antihistamine mouth rinses (e.g., diphenhydramine elixir) can reduce tongue sensitivity.

• #3 Geographic tongue Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/geographic-tongue

  Avoid irritating your tongue with hot or spicy food or alcohol if you are prone to this condition.

• #4 Geographic tongue (Benign migratory glossitis): An Overview with Images — DermNet

  https://dermnetnz.org/topics/geographic-tongue

  There is no cure for geographic tongue. Usually, no treatment is required apart from reassurance. […] Discomfort and burning sensations can be treated by avoiding eating hot, spicy and acidic food. Symptomatic treatments may include: Topical anaesthetic agents, Antihistamine and anaesthetic mouthwash, Topical steroid, Topical tacrolimus. […] The outcome of geographic tongue is good. In most cases, it resolves over time without treatment.

• #5 Geographic tongue: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001049.htm

  Avoid irritating your tongue with hot or spicy food or alcohol if you are prone to this condition. […] No treatment is needed. Antihistamine gel or steroid- or tacrolimus-containing mouth rinses may help ease discomfort.

• #6 Risk factors associated with symptomatic geographic tongue. | JAA

  https://www.dovepress.com/identifying-chili-as-a-risk-factor-for-the-geographic-tongue-a-case-re-peer-reviewed-fulltext-article-JAA

  Geographic tongue (GT) is a chronic tongue condition triggered by various factors such as immune reactions, allergies, stress, hereditary factors, and nutritional deficiencies. […] Spicy foods are popular among Indonesians. Chili is one such food that can cause allergies and trigger GT. […] The patient was advised to avoid chilies, and benzydamine hydrochloride mouthwash was administered. […] Management of symptomatic GT includes the avoidance of allergens such as chilies and appropriate pharmacological therapy. The identification of risk factors is required for effective management. […] Allergies or atopy may be conditions underlying the occurrence of GT, as in this patient. […] Predisposing factors for GT are associated with allergies triggered by the consumption of certain foods, including hot, spicy, salty, and cheese.

• #7 Geographic tongue: Causes and treatment | CURAPROX

  https://curaprox.co.nz/blog/post/what-can-you-do-to-avoid-or-get-rid-of-geographic-tongue?srsltid=AfmBOoruQGfQLiKVFsv8Xdn4xggwQe7CT9s_mkBr-cTbzcjEVA_akqUS

  Geographic tongue is not a disease but merely a benign variation in appearance of the top of the tongue. […] Once you have identified the triggers that cause your geographic tongue, you can take preventive measures to a certain extent, thereby reducing its occurrence and speeding up the healing process. […] The symptoms may become worse if you eat certain foods. Accordingly, geographic tongue will heal faster if you avoid eating these particular types of food. […] Given that the symptoms can worsen with certain foods, such as acidic, very spicy or hot dishes, it is advisable to carefully monitor the occurrences of geographic tongue and to identify potential triggers. […] To help you get rid of your geographic tongue as quickly as possible, here are five key tips for you to consider: Avoid acidic and very spicy dishes.

• #8 Geographic Tongue – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554466/

  Geographic tongue usually does not require any treatment if asymptomatic. Patients can be reassured of its benign self limiting nature. […] For symptomatic lesions, topical corticosteroids, antihistamines, cyclosporine, vitamin A, zinc, acetaminophen, topical tacrolimus have been shown to be effective. Avoidance of alcohol, hot, spicy and sour foods, acidic fruits and beverages, and maintaining good oral hygiene is recommended to avoid worsening symptoms. […] Geographic tongue is a harmless inflammatory condition affecting the surface of the tongue. Treatment is not necessary. […] For symptomatic cases, therapy is available. […] An interprofessional team that provides a holistic and integrated approach to diagnosing and treating geographic tongue can help achieve the best possible outcomes. Health care staff of primary care and emergency departments play a vital role in diagnosing and referring patients with tongue lesions to dermatology or otolaryngology that look like geographic tongue. This will aid in better patient satisfaction and quality of life.

• #9 Geographic Tongue | What it is, Causes, Symptoms and Treatments – KIN

  https://www.kin.es/en/patologias/lengua-geografica/

  Geographic tongue usually does not require any treatment, as it is a benign and self-limiting condition; however, there is no specific cure and it is generally suggested to simply pay special attention to oral hygiene, with thorough cleaning of the teeth at the end of each meal and the use of a Mouthwash. […] All foods that may promote the onset of discomfort, such as salty snacks, citrus fruits, foods spiced with pepper or chili, or drinks and foods that are too hot or too cold, should be avoided. […] Tobacco and alcohol consumption should be avoided. […] Food supplements may be prescribed in case of vitamin, zinc or iron deficiency. […] In some cases, antibiotic mouthwashes, antiseptics, antihistamines and/or analgesics are suggested, but these therapies, as well as the use of corticosteroids, antifungals, immunosuppressants (cyclosporine) and vitamin A derivatives (retinoids), do not seem to offer satisfactory results, especially in terms of risk/benefit ratio. […] Psychotherapy may be useful in patients who are under particular stressful conditions.

• #10 What Foods Trigger Geographic Tongue?

  https://www.medicinenet.com/what_foods_trigger_geographic_tongue/article.htm

  Foods that may trigger geographic tongue include hot foods and beverages, alcohol, and spicy foods. […] To avoid this, make sure to include a good amount of zinc in your diet through foods such as meat and poultry. […] Here are some foods that provide zinc: Beef, Pork, Chicken, Fruit yogurt, Beans, Nuts. […] If you suffer from oversensitivity to irritation due to geographic tongue, you might want to avoid spicy, hot, and overly-acidic foods.

• #11 Geographic Tongue – European Association of Oral Medicine

  https://eaom.eu/education/eaom-handbook/geographic-tongue/

  Geographic tongue is a benign condition that never turns into malignancy. […] As the cause is unknown, the condition is not preventable. However it is advisable to promote optimal oral hygiene and avoid contact with local factors that could precipitate symptoms, such as spicy and acidic foods, alcohol, irritants in toothpastes and mouthrinses.

• #12 Geographic Tongue: Causes, Symptoms And Care | Colgate®

  https://www.colgate.com/en-us/oral-health/mouth-sores-and-infections/geographic-tongue-causes-symptoms-and-care

  Caring for Geographic Tongue […] Although geographic tongue can’t be prevented, there are steps you can take to decrease discomfort and lower anxiety. […] Top tips when caring for your geographic tongue: Avoid spicy, hot, or acidic food and beverages if they cause pain. […] Practice proper dental hygiene to avoid irritation, including using a flossing device once a day and brushing twice daily for two minutes. […] Use over-the-counter solutions as recommended by your doctor. These could include pain relievers, anesthetic or antihistamine mouthrinse, steroid ointments, or vitamin B supplements. […] If you have trouble overcoming stress associated with your condition, considering speaking to a dental or medical professional for reassurance.

• #13

  https://www.teethtalkgirl.com/dental-health/geographic-tongue/

  Geographic tongue is a condition where the dorsal (top) surface of the tongue develops these irregular-looking, map-like patterns of red patches. […] The cause of geographic tongue is not completely understood, but its thought to be related to our bodys inflammatory or immune response. […] If you are experiencing symptoms of geographic tongue, it’s important to visit a dentist as soon as possible. […] Fortunately, most hormone-related oral symptoms are short-lived and resolve on their own in time. […] Fortunately, this one is easy! Its time to up your intake of these specific nutrients either through a vitamin supplement, or, even better, fresh, whole foods. […] Brushing twice a day and flossing every day are a given. But you also need to make sure youre using a tongue scraper. […] People with severe allergy symptoms typically do best working with an allergist, who is a medical expert specializing in allergic reactions.

• #14 Geographic tongue: Causes and treatment | CURAPROX

  https://curaprox.co.nz/blog/post/what-can-you-do-to-avoid-or-get-rid-of-geographic-tongue?srsltid=AfmBOoruQGfQLiKVFsv8Xdn4xggwQe7CT9s_mkBr-cTbzcjEVA_akqUS

  Individuals suffering from geographic tongue often find that their symptoms worsen when using an aggressive toothpaste or mouthwash. […] If you are currently experiencing symptoms of geographic tongue and your tongue is highly sensitive, it is advisable to avoid consuming acidic fruits and hot spices in general. […] Many individuals believe in the efficacy of fasting as a way to accelerate the natural healing of the body when suffering from geographic tongue. […] Emotional stress and psychological suffering have a negative effect on geographic tongue. Having said that, active stress management has a positive effect. […] If your tongue is burning, you can relieve the discomfort and pain by consuming tannin-containing and anti-inflammatory infusions, e.g. sage tea. […] A lack of vitamin B12 can also lead to red patches on the tongue and burning and tingling sensations. […] As yet, no medication exists that targets and alleviates the symptoms of geographic tongue. […] The best idea is to consult an alternative health practitioner for advice on the right dosage and the exact name.

• #15 Geographic Tongue (Benign Migratory Glossitis, Lingua geographica, Oral Psoriasis) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/geographic-tongue-benign-migratory-glossitis-lingua-geographica-oral-psoriasis/

  For asymptomatic patients, reassurance that geographic tongue is not infectious or contagious, and is not associated with oral cancer, is often sufficient. […] For symptomatic patients, management can be challenging. The first interventions should be aimed at avoiding oral irritants, including oral care products (mouthwashes and toothpastes containing tartar control, whitening [bleaching] products, or baking soda) and certain foods (spicy, acidic, and cinnamon- or mint-flavored foods). […] Symptom modulation can sometimes be achieved with topical viscous lidocaine solution. Occasionally, medications used in an attempt to alter the disease process are successful. Such topical medications include mid- to high-potency corticosteroid gels or solutions, tretinoin gels or solutions, and antihistamine solutions. Oral medications are used much less frequently but include prednisone and cyclosporin.

• #16 Geographic Tongue – OASIS DERMATOLOGY GROUP PLLC

  https://oasisderm.com/geographic-tongue-2/

  Good oral hygiene practices, including the use of a soft-bristled toothbrush and regular mouth rinsing with saltwater or an alcohol-free mouthwash, may help reduce irritation and prevent secondary infections. […] In cases where geographic tongue is associated with nutritional deficiencies, such as iron or vitamin B12, appropriate supplementation may improve symptoms. However, there is limited evidence to support this approach as a primary treatment for the condition. […] Although geographic tongue is typically a benign condition, its cosmetic appearance and potential discomfort can cause distress in some individuals. Psychological counseling or reassurance from healthcare providers may be beneficial, particularly for those experiencing anxiety or embarrassment about the condition.

• #17

  https://www.teethtalkgirl.com/dental-health/geographic-tongue/

  Fortunately, stress management techniques such as meditation, exercise, cognitive behavioral therapy, and prescription medication can be extremely helpful. […] Its not necessary to treat a fissured tongue. However, you do want to take steps to avoid infections, as food and bacteria can easily get caught deep inside of the cracks on your tongue. […] When it comes to treating skin conditions like psoriasis and eczema, dermatologists may use a variety of approaches such as topical creams or ointments, steroid injections, oral medicine (such as methotrexate or biologics,) light therapy, and phototherapy. […] It’s important to note that there is no specific treatment for geographic tongue, and in most cases, the condition will go away on its own over time. […] However, some steps may help to reduce the likelihood of developing the condition, including: Maintaining good oral hygiene and preventing oral infections by brushing and flossing regularly. […] Despite these steps, its not always possible to prevent geographic tongue from developing. You may still develop the condition, but symptoms could be less severe.

• #18 Geographic tongue – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/geographic-tongue/diagnosis-treatment/drc-20354401

  Geographic tongue usually does not need any medical treatment. While geographic tongue sometimes can cause tongue pain, it’s a harmless condition. […] To manage pain or sensitivity, your doctor may recommend medicines such as: Pain relievers available without a prescription. Mouth rinses that numb the area. Antihistamine mouth rinses. Antihistamines are used to reduce swelling. Corticosteroid ointments or rinses. Corticosteroids are used to manage conditions that cause swelling or affect the immune system, such as lichen planus. Vitamin B or zinc. Medications for fungal infections. […] Because these treatments haven’t been studied in great detail, their benefit is not known. Since geographic tongue comes and goes on its own, you may not be able to tell if treatments are making symptoms go away. […] Most people with geographic tongue don’t experience symptoms. But if you have symptoms, you may reduce pain by staying away from or limiting substances that commonly make sensitive oral tissues feel worse. These substances include spicy or acidic foods or beverages, as well as alcohol and tobacco.

• #19 Ask a Dentist: What is Geographic Tongue? – Kent B. Lawson DDS Houston Texas

  https://www.kentlawsondds.com/blog/ask-a-dentist-what-is-geographic-tongue/

  Although geographic tongue is not a serious issue: it is not contagious or cancerous, and generally, it does not cause more complicated health conditions. […] Sadly, geographic tongue has no cure, but fortunately, treatment is usually not required. The condition is benign, which means it is not cancerous and causes no harm to the patients health. […] While it may be impossible to make the condition disappear permanently, you should visit the dentist to ensure an accurate diagnosis. […] If you are currently dealing with this issue, you can alleviate the pain by avoiding foods with high acid content (such as tomatoes and citrus fruits), including hot and spicy items. […] Usually, the dentist will recommend anesthetic mouthwashes, steroid ointments or antihistamines if the pain becomes unbearable. […] Therefore, you should book an appointment with the dental office for an evaluation, just to be sure. An in-depth examination can ease your fears and eliminate the chances of other conditions that can cause worries.

• #20

  https://journals.lww.com/aomr/fulltext/2022/34020/usage_of_antihistamines_and_topical.9.aspx

  Geographic tongue (GT) is a benign inflammatory condition of the tongue with map-like areas of erythema. In symptomatic cases, pharmacotherapy is advised to improve quality of life and reduce chances of recurrence. […] The study aimed to compare the usage of antihistamines and topical corticosteroids in the management of symptomatic geographic tongue. […] Antihistamines should be the first drug type of choice in treating symptomatic GT. Topical steroids could be considered an adjunct or standalone second drug type of choice. […] The treatment should be administered in symptomatic cases to improve the quality of life and reduce the chances of recurrence. We could advocate those antihistamines should be the first drug type of choice in treating symptomatic GT. However, in improper treatment outcomes, Topical steroids could be considered an adjunct or standalone second drug.

• #21 Geographic Tongue Treatment & Management: Medical Care, Consultations

  https://emedicine.medscape.com/article/1078465-treatment

  As a rule, no medical intervention is required for geographic tongue (benign migratory glossitis), because the lesion is benign and most often asymptomatic. […] However, successful treatment of persistent geographic tongue with cyclosporine has been reported, and treatment with topical and systemic antihistamines has been described. […] Topical retinoids and topical corticosteroids are occasionally of benefit. […] Tacrolimus has been tried, either in an ointment or in an oral solution. […] Consultation with an oral pathologist is indicated if a question exists about the diagnosis of geographic tongue.

• #22 Geographic tongue | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/83/8/565

  Geographic tongue has a remitting and relapsing course with no complications or permanent sequelae. […] Reassurance is the main treatment. Topical corticosteroids and local anesthetics may provide symptomatic relief in mild forms of the disease. Topical tacrolimus and systemic cyclosporine have been reported as useful in severe cases.

• #23 Geographic Tongue (Benign Migratory Glossitis, Lingua geographica, Oral Psoriasis) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/geographic-tongue-benign-migratory-glossitis-lingua-geographica-oral-psoriasis/

  Because of the limited literature and the natural course of spontaneous remission, it is impossible to present an evidence-based therapeutic ladder for geographic tongue. Topical therapies mentioned above and oral antihistamines present low-risk treatment options. The risks associated with more aggressive oral therapies that are not curative need to be weighed against the need for chronic treatment until spontaneous remission occurs. […] Because of the benign nature of geographic tongue, no specific follow-up is required. If medications are prescribed for palliation or treatment, appropriate monitoring should be performed.

• #24 The Use of Phototherapy in Treatment of Geographic Tongue in Patients with Psoriasis | IntechOpen

  https://www.intechopen.com/chapters/66627

  Psoriasis is an autoimmune inflammatory skin disease associated with an oral condition called benign migratory glossitis (geographical tongue). […] The objective of this chapter is to update clinical knowledge on how to select light/laser sources and individual therapeutic regimens in benign migratory glossitis. […] Most cases are asymptomatic and do not require treatment. It is only necessary to assure the patient that it is a benign and self-limiting lesion. […] However, there is no consensus in the literature regarding the best treatment. […] Treatment of GT is indicated only in symptomatic cases and often includes corticosteroids. However, there is no established treatment reported in literature. […] Laser therapy has known biological effects, such as the modulating action of inflammation.

• #25 The Use of Phototherapy in Treatment of Geographic Tongue in Patients with Psoriasis | IntechOpen

  https://www.intechopen.com/chapters/66627

  This therapy is an effective, safe, and accessible treatment without incurring any systemic side effects, in contrast to biologic agents or other drugs. […] Moreover, phototherapy can be combined with biologic agents for the treatment of GT. […] Low-level light/laser therapy (LLLT) is widely used in dermatology, with effective results in the treatment of psoriasis. […] The control of the exacerbation of lesions of geographic tongue, using the low-intensity lasers, can be explained by its effects that increase the cellular metabolism, stimulating the mitochondrial activity and acting as analgesics, anti-inflammatory, and repairers of the tongue lesion. […] Treatment of oral lesions is indicated only in symptomatic cases. Therefore, phototherapy will only be effective against geographic tongue if there is pain or burning sensation. […] Its advantages of noninvasion, few side effects, and measurable benefits merit to be explored in the treatment of GT.

• #26

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10009561/

  Geographic tongue and fissured tongue are both common oral mucous membrane diseases relatively. […] Therefore, this case we used typically causative therapy with Lactobacillus as adjuvant to treat patient with a geographic tongue and fissured tongue with gastrointestinal disease and explore the effectiveness for further application. […] This study used Lactobacillus as the adjuvant with typically causative therapy in the treatment of geographic tongue and fissured tongue. […] Lactobacillus can be used as an adjuvant to treat geographic tongue and fissured tongue accompanied with gastrointestinal disease. However, more cases are needed to confirm this conclusion. […] Therefore, in this study, Lactobacillus, which can inhibit H. pylori (the most common infection bacterium of chronic gastritis), was selected as an adjuvant to treat gastritis, and then the course and conditions of the patients were observed and reported.

• #27

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10009561/

  After treating the gastric diseases and glossitis at the same time, we found that the course of the patient was shorter than that of the patients with gastric diseases and glossitis in general, and there has been no recurrence thus far. […] In this case report, Lactobacillus was used as an adjuvant in the treatment of geographic tongue and fissured tongue with gastritis. It was found that the course in this case was shorter than that in other patients on average, and the symptoms of gastritis were also relieved.

• #28 Geographic Tongue – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554466/

  Collaboration, shared decision making, and communication are key elements for a good outcome. The interprofessional care provided to the patient must use an integrated care pathway combined with an evidence-based approach to planning and evaluation of all joint activities. The earlier signs and symptoms of geographic tongue are identified; the better is the patient outcome and satisfaction.

• #29 Treatment Strategies for Geographic Tongue – Decisions in Dentistry

  https://decisionsindentistry.com/article/treatment-strategies-geographic-tongue/

  Communication and collaboration with other healthcare providers are needed to ensure patient-centered care. […] As oral health professionals, recommending stress management programs and initiating mental health referrals might be indicated for patients with GT. […] Similarly, a referral to an allergist or registered dietitian may be appropriate depending on suspected etiology.

• #30 Risk factors associated with symptomatic geographic tongue. | JAA

  https://www.dovepress.com/identifying-chili-as-a-risk-factor-for-the-geographic-tongue-a-case-re-peer-reviewed-fulltext-article-JAA

  In this case, GT was triggered by allergies, supported by blood test results showing an elevated eosinophil count of 4%, a total IgE of 698 IU/mL (six times the standard value), and a positive prick test for chili. […] Therefore, identifying risk factors is required to improve the quality of life for GT patients. […] GT patients are advised to maintain optimal oral hygiene. GT patients also should avoid trigger factors (allergens) or certain foods such as chili, dried salted nuts, kiwi, tomatoes, pineapples, spicy, sour, hot foods, cigarettes or tobacco, and alcohol. […] There are no specific pharmacological interventions for the treatment of symptomatic GT. However, by understanding the pathogenesis of GT, the basis for the use of steroids as the first line of treatment aims to reduce symptoms. […] Identifying risk factors, such as chili as an allergen, plays an important role in making a diagnosis and providing appropriate therapy for symptomatic geographic tongue patients.

• #31 What is Geographic Tongue? A Detailed Overview

  https://www.watertowndentalhealth.com/what-is-geographic-tongue/

  Preventing geographic tongue is challenging due to the unknown causes of the condition. Managing stress and maintaining a balanced diet rich in essential vitamins and minerals may help reduce the risk. Avoiding known triggers, such as spicy and acidic foods, can also prevent discomfort. […] Regular dental check-ups are important for monitoring the condition and ensuring that any changes in the mouth are promptly addressed. While geographic tongue can recur, it is typically a benign and self-limiting condition, and individuals can manage it effectively with appropriate care and lifestyle adjustments.

• #32 Geographic Tongue: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1078465-overview

  Generally, medical intervention is unnecessary, because the lesion is benign and most often asymptomatic. However, there are some reports of benefit achieved with cyclosporine, antihistamines, retinoids, corticosteroids, or tacrolimus. […] It has been suggested that the lingual microbiota may play a role in geographic tongue. […] Defining geographic tongue, describing its clinical appearance, and reinforcing its benign nature are usually the only measures needed to educate patients and allay any concerns they may have about this condition.

• #33 Geographic tongue | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/geographic-tongue?content_id=CON-20199567

  Geographic tongue may look alarming, but it does not cause health issues. […] Geographic tongue is an inflammatory but harmless condition affecting the surface of the tongue. […] Although geographic tongue may look alarming, it does not cause health issues. It’s not related to infection or cancer. […] Geographic tongue is harmless, but it can sometimes be uncomfortable. It does not pose a threat to your health, cause long-term complications or raise your risk of major health problems. […] Geographic tongue usually does not need any medical treatment. While geographic tongue sometimes can cause tongue pain, it’s a harmless condition. […] Most people with geographic tongue don’t experience symptoms. But if you have symptoms, you may reduce pain by staying away from or limiting substances that commonly make sensitive oral tissues feel worse.

• #34 Ask a Dentist: What is Geographic Tongue? – Lasting Impressions Dental Group Houston TX

  https://www.lastingimpressionsdentalgroup.com/blog/ask-a-dentist-what-is-geographic-tongue/

  If you are currently dealing with this issue, you can alleviate the pain by avoiding foods with high acid content (such as tomatoes and citrus fruits), including hot and spicy items. […] An in-depth examination can ease your fears and eliminate the chances of other conditions that can cause worries. The appearance may seem bizarre, but geographic tongue is not harmful. With adequate care, the condition is simply a minor irritation that will disappear soon enough.

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