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Hairy tongue is an unusual, harmless condition characterised by a "hairy" enlargement and discolouration of the filiform papillae. If you have any concerns with your skin or its treatment, see a dermatologist for advice. It is important to take a detailed history to establish possible contributing factors. Black hairy tongue: what is your call? Bacteria and yeasts then overgrow and make porphyrins deeply coloured organic compounds , which may contribute to the discoloration. Abnormal filiform papillae prevent normal cleaning and debridement of the tongue, hence debris accumulates.

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DermNet NZ does not provide an online consultation service.

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See smartphone apps to check your skin. If other treatment fails, trimming papillae by carbon dioxide laser burning and electrodessication have been described. Black hairy tongue associated with erlotinib treatment in a patient with advanced lung cancer. Bacteria and yeasts then overgrow and make porphyrins deeply coloured organic compounds , which may contribute to the discoloration. Black hairy tongue, Black tongue, Melanoglossia, Coated tongue, Hypertrophy of tongue papillae, Lingua villosa nigra. Hairy tongue — codes and concepts open. Note that this may not provide an exact translation in all languages.

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