Black hairy tongue

Background

Benign reactive process
Hyperplasia and increased pigmentation of filiform papille

Inciting Causes

Smoking
GERD
Antibiotics
Poor hygiene

Clinical Features

Black hairy tongue

Differential Diagnosis

Tongue diagnoses

Tongue laceration
Strawberry tongue
Black hairy tongue
Oropharyngeal candidiasis (oral thrush)
Hairy Oral Leukoplakia
Tongue swelling
- Trauma
- Angioedema
  - Hereditary
  - Allergic (ACE)
  - Idiopathic

Evaluation

Management

Treat with improved oral hygiene, gentle brushing, and a reducing pigment intake

Disposition

See Also

Tongue Diagnoses

References

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