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Black hairy tongue
From WikEM
Contents
Background
- Benign reactive process
- Hyperplasia and increased pigmentation of filiform papille
Inciting Causes
- Smoking
- GERD
- Antibiotics
- Poor hygiene
Clinical Features
Differential Diagnosis
Tongue diagnoses
- Tongue laceration
- Strawberry tongue
- Black hairy tongue
- Oropharyngeal candidiasis (oral thrush)
- Tongue swelling
- Trauma
- Angioedema
- Hereditary
- Allergic (ACE)
- Idiopathic
Evaluation
Management
- Treat with improved oral hygiene, gentle brushing, and a reducing pigment intake
