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A: Geographic tongue is a fairly common condition. It can occur at any time in life, including childhood. It is estimated to affect from 1 - 2.5% of the population. In affected individuals geographic tongue tends to vary in color, shape and size --- hence the name of the condition.
With geographic tongue, patches on the surface of the tongue are missing papillae and appear as smooth, red islands, often with slightly raised borders. These patches (lesions) give the tongue a maplike, or geographic, appearance.