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Images in Clinical Medicine
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Volume 337:897 September 25, 1997 Number 13
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Black Hairy Tongue

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Figure 1.


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Figure 1. A 66-year-old man who was edentulous and did not wear dentures reported having a yellow tongue. He ate only liquefied foods, his oral hygiene consisted of mouthwashing, and he had not taken oral antibiotics recently. Black hairy tongue was diagnosed. In this disorder, the filiform papillae on the dorsum of the tongue are hyperplastic and dark black. The pigmentation may be the result of trapped chromogenic bacteria, food, coffee, or tobacco.

 


Catherine C. Newman, M.D.
Richard F. Wagner, M.D.
University of Texas Medical Branch
Galveston, TX 77555-0783




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