Fissured tongue is considered a variant of normal; however, frequency increases with age and xerostomia. It may develop in association with infection, malnutrition, or spontaneously, and is inherited in an autosomal dominant fashion with incomplete penetrance. It can also be associated with Down syndrome, psoriasis, and Sjögren syndrome.
Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. American Family Physician. 2010;81(5):627-634.