Black hairy tongue

Black hairy tongue
Other namesLingua villosa nigra[1][2] or Melanoglossia.[3]
A patient displaying characteristic dark bumps of black hairy tongue
SpecialtyDermatology
Risk factorsSmoking, poor oral hygiene, soft diet
Diagnostic methodBased on clinical appearance
Differential diagnosisHairy leukoplakia
TreatmentReassurance

Black hairy tongue syndrome (BHT[4]) 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 facilitated by improving oral hygiene, especially scraping or brushing the tongue.[5]

  1. ^ Rajendran, R.; Sivapathasundharam, B., eds. (2009). "Developmental Disturbances of Oral and Paraoral Structures". Shafer's Textbook Of Oral Pathology (6th ed.). Elsevier India. p. 31. ISBN 978-81-312-1570-8. Retrieved 16 November 2010.
  2. ^ Waggoner, W. C.; Volpe, A. R. (January 1967). "Lingua Villosa Nigra--A Review of Black Hairy Tongue". Journal of Oral Medicine. 22 (1): 18–21. PMID 5340144.
  3. ^ "Melanoglossia". The Lancet. 197 (5096): 922. 30 April 1921. doi:10.1016/S0140-6736(00)55600-1.
  4. ^ Gurvits, Grigoriy E (2014). "Black hairy tongue syndrome". World Journal of Gastroenterology. 20 (31): 10845–10850. doi:10.3748/wjg.v20.i31.10845. PMC 4138463. PMID 25152586.
  5. ^ Sarti, G. M.; Haddy, R. I.; Schaffer, D.; Kihm, J. (June 1990). "Black Hairy Tongue". American Family Physician. 41 (6): 1751–5. PMID 2190456.