Hairy Tongue

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Andreas Korber - One of the best experts on this subject based on the ideXlab platform.

  • black Hairy Tongue in an infant
    Canadian Medical Association Journal, 2012
    Co-Authors: Andreas Korber, Nadine Voshege
    Abstract:

    An eight-week-old infant was referred to our clinic because of a four-week history of black discoloration of the Tongue ([Figure 1][1]). The infant’s birth history was unremarkable, and he had no history of infections or antibiotic use. There was no family history of Peutz–Jegher syndrome, von

  • images in clinical medicine black Hairy Tongue
    The New England Journal of Medicine, 2006
    Co-Authors: Andreas Korber, Joachim Dissemond
    Abstract:

    An 85-year-old male cigar smoker with no notable medical history presented with black discoloration and Hairy appearance of the Tongue, which had lasted for several years. He said he did not use bismuth-containing compounds. Black Hairy Tongue, also known as lingua villosa nigra, is a painless, benign disorder caused by defective desquamation and reactive hypertrophy of the filiform papillae of the Tongue. It is characterized clinically by an abnormal brownish-black coating of the dorsal surface of the Tongue. The exact pathogenesis is unclear. A number of relevant etiologic factors have been assumed, including the use of topical or systemic antibiotics . . .

Joachim Dissemond - One of the best experts on this subject based on the ideXlab platform.

  • images in clinical medicine black Hairy Tongue
    The New England Journal of Medicine, 2006
    Co-Authors: Andreas Korber, Joachim Dissemond
    Abstract:

    An 85-year-old male cigar smoker with no notable medical history presented with black discoloration and Hairy appearance of the Tongue, which had lasted for several years. He said he did not use bismuth-containing compounds. Black Hairy Tongue, also known as lingua villosa nigra, is a painless, benign disorder caused by defective desquamation and reactive hypertrophy of the filiform papillae of the Tongue. It is characterized clinically by an abnormal brownish-black coating of the dorsal surface of the Tongue. The exact pathogenesis is unclear. A number of relevant etiologic factors have been assumed, including the use of topical or systemic antibiotics . . .

Richard F Wagner - One of the best experts on this subject based on the ideXlab platform.

  • images in clinical medicine black Hairy Tongue
    The New England Journal of Medicine, 1997
    Co-Authors: Catherine Newman, Richard F Wagner
    Abstract:

    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.

Tiffany L Kessler - One of the best experts on this subject based on the ideXlab platform.

  • drug induced black Hairy Tongue
    Pharmacotherapy, 2010
    Co-Authors: Dennis F Thompson, Tiffany L Kessler
    Abstract:

    Black Hairy Tongue (BHT) is a benign, self-limiting disorder characterized by abnormally hypertrophied and elongated filiform papillae on the surface of the Tongue. The prevalence of BHT is quite variable, ranging from 0–53.8% depending on the population. Many predisposing factors to BHT exist, and several drugs and drug classes have been implicated in causing this disorder. A modified Naranjo adverse drug reaction probability nomogram specific for BHT was used to rate causality for the available published case reports of drug-induced BHT. From the available data, antibiotics and drugs capable of inducing xerostomia are the drug classes that have modest evidence of causality and a rational mechanism. The presence of underlying predisposing factors in these cases along with the variable prevalence of BHT make drawing firm conclusions difficult. Treatment for BHT involves eliminating any predisposing issues and practicing scrupulous oral hygiene. Drug therapy and physical removal of the elongated filiform papillae are available for resistant cases. Clinicians should be aware of the prevalence, the predisposing factors and drug classes that may play a role in the development, and the treatment of BHT.

Joseph Anthony Zorek - One of the best experts on this subject based on the ideXlab platform.

  • linezolid induced black Hairy Tongue a case report
    Journal of Medical Case Reports, 2013
    Co-Authors: Faisal Abdullah Khasawneh, Dereje Fikremariam Moti, Joseph Anthony Zorek
    Abstract:

    Linezolid-induced black Hairy Tongue has been rarely reported. The purpose of this paper is to report a case of linezolid-induced black Hairy Tongue and review the literature. A 56-year-old Caucasian man was admitted with community-acquired pneumonia that failed to respond to levofloxacin 750mg daily. He was started on linezolid and meropenem and was subsequently discharged home on oral linezolid 600mg every 12 hours and intravenous ertapenem 1g daily. On a follow-up clinic visit, day 14 of linezolid therapy, he complained of dysgeusia and his Tongue examination was consistent with black Hairy Tongue. After he finished his antibiotic course, his complaints resolved with regular Tongue brushing. Black Hairy Tongue is characterized by abnormal hypertrophy and elongation of filiform papillae. Five reported cases of linezolid-induced black Hairy Tongue were identified in a MEDLINE search (from January 2000 to June 2012). The Naranjo Probability Scale revealed a probable adverse drug reaction of linezolid-induced black Hairy Tongue. Potential contributing factors included other antibiotics, drug–drug interaction and poor oral hygiene. Health care professionals should be aware of the possibility of linezolid-induced black Hairy Tongue. Thorough history for other possible contributing factors should be obtained. Patients on linezolid should be counseled to perform good oral hygiene.

  • Linezolid-induced black Hairy Tongue: a case
    2013
    Co-Authors: Faisal Abdullah Khasawneh, Dereje Fikremariam Moti, Joseph Anthony Zorek
    Abstract:

    Introduction: Linezolid-induced black Hairy Tongue has been rarely reported. The purpose of this paper is to report a case of linezolid-induced black Hairy Tongue and review the literature. Case presentation: A 56-year-old Caucasian man was admitted with community-acquired pneumonia that failed to respond to levofloxacin 750mg daily. He was started on linezolid and meropenem and was subsequently discharged home on oral linezolid 600mg every 12 hours and intravenous ertapenem 1g daily. On a follow-up clinic visit, day 14 of linezolid therapy, he complained of dysgeusia and his Tongue examination was consistent with black Hairy Tongue. After he finished his antibiotic course, his complaints resolved with regular Tongue brushing. Conclusion: Black Hairy Tongue is characterized by abnormal hypertrophy and elongation of filiform papillae. Five reported cases of linezolid-induced black Hairy Tongue were identified in a MEDLINE search (from January 2000 to June 2012). The Naranjo Probability Scale revealed a probable adverse drug reaction of linezolid-induced black Hairy Tongue. Potential contributing factors included other antibiotics, drug–drug interaction and poor oral hygiene. Health care professionals should be aware of the possibility of linezolid-induced black Hairy Tongue. Thorough history for other possible contributing factors should be obtained. Patients on linezolid should be counseled to perform good oral hygiene.