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A year-old male smoker attended a follow-up outpatient clinic 18 months after starting antibiotic therapy rifampicin, isoniazid and clarithromycin for a nontuberculous mycobacterial lung infection. His infection was clinically improving, but the patient had noticed that his tongue had become discoloured over the previous 4 weeks. Aside from the black discoloration, the patient's tongue was asymptomatic Figure 1. The results of microbiologic and histologic tests of swabs from his tongue were negative for infective and malignant conditions. An otolaryngologist advised the patient to wash his tongue twice daily with a soft toothbrush.
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Black hairy tongue: What is your call?

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Black Hairy Tongue Causes, Symptoms, and Treatments

Special Offers. No doubt, seeing a black hairy tongue in the mirror is unsettling. You likely want to be sure it's treatable and that your health is not at serious risk. Luckily, this condition is harmless and can be easily treated, notes the Mayo Clinic. Here's how you can get your tongue back to normal and prevent the condition from developing again. Black hairy tongue is caused by overgrowth on the surface of the tongue called hyperkeratosis. As the American Academy of Oral Medicine AAOM explains, the tiny bumps on the surface of your tongue, known as the papillae , contain the same protein that's responsible for the hair on your head.
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Black Hairy Tongue Causes and Treatment

Black hairy tongue is a condition of the tongue in which the small bumps on the tongue elongate with black or brown discoloration, giving a black and hairy appearance. The appearance may be alarming, but it is a harmless condition. Predisposing factors include smoking, xerostomia dry mouth , soft diet , poor oral hygiene and certain medications. Management is by improving oral hygiene, especially scraping or brushing the tongue.
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DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Hairy tongue is an unusual, harmless condition characterised by a 'hairy' enlargement and discolouration of the filiform papillae. The filiform papillae are tiny conical bumps found on the surface of the front two-thirds of the tongue that do not carry taste buds.
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