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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.

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Authors: M Hommes J A Hoskam. Ned Tijdschr Geneeskd 2004 May;148(20):984. Amphia Ziekenhuis, locatie Langendijk, afd. Interne Geneeskunde, Postbus 9. 57, 4800 RL Breda. In a 59-year-old man with a swallowing problem and loss of weight, who used fluoxetine because of depression, gastroscopy revealed a black hairy structure on the dorsum of the tongue, known as black hairy tongue.

Black hairy tongue is a relatively common condition in which the the central top portion of the tongue presents with an abnormal coloring and coating. Although the abnormal coating is typically black in color, brown, yellow, and green discoloration have been described. Individuals with black hairy tongue usually do not have symptoms, although occasionally there may be a burning, gagging, or tickling sensation. Halitosis (bad breath) or abnormal taste may additionally be present

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