Black hairy tongue in a patient with chronic alcoholism (lingua villosa nigra)

Черный волосатый язык у пациента с хроническим алкоголизмом
Gaukhar Bakhtiyarova 1, Mehtap Tınazlı 1, Deniz Granit 1, Sabiha Gökçen Asvaroğlu 1
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1 Near East University Hospital Medical Faculty, Department of Internal Medicine, Nicosia, TRNC
J CLIN MED KAZ, Volume 4, Issue 38, pp. 83-85.
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ABSTRACT

Black Hairy Tongue (BHT) is a hereditary benign condition which is characterized by the appaerance of abnormally hypertrophied and elongated pilliform papilla on dorsal surface of tongue. Its exact pathogenesis is unknown; however, there is significant involvement of secondary papillary cells producing hairy-type keratin. Known predisposing factors include smoking, consumption of excessive coffee / black tea, bad oral hygiene, trigeminal neuralgia, poverty, xesrostomia, drugs and alcohol. Hairy tongue is especially seen in those who smoke intensively in high prevalance; however our case is associated with excessive alcohol consumption. As means of treatment, we made suggestions such as alcohol abstinence, mouthwash with antiseptic solution, frequent hygienic care, tooth brushing as his treatment.

CITATION

Bakhtiyarova G, Tınazlı M, Granit D, Asvaroğlu SG. Black hairy tongue in a patient with chronic alcoholism (lingua villosa nigra). Journal of Clinical Medicine of Kazakhstan. 2015;4(38):83-5.

REFERENCES

  • Heymann WR. Psychotropic agent-induced black hairy tongue. Cutis, 2000 Jul; No.66 (1), pp.25-6. P MİD: 10916687
  • Manabe M, Lim HW, Winzer M, Loomis CA. Architectural organization of filiform papillae in normal and black hairy tongue epithelium: disection of differentiation pathwaysina complex human epithelium according to thei patterns of keratin expression. Arch Dermatol 1999, Feb; No.135 (2), pp.177-81. PMID:10052403
  • Thompson DF, Kessler TL. Drug-induced black hairy tongue. Pharmacotherapy 2010; No.30, pp. 585-593 (PMID:20500047 DOI:10.1592/phco.30.6.585).
  • Avcu N, kanli A. The prevalence of tongue lesions in 5150 turkish dental outpatients. Oral Dis, 2003,No. 9, pp.188-195 (PMİD: 12974518 DOI:10.1034/j.1601-0825.2003.02933.x)
  • Nisa L, Giger R. Black hairy tongue. Am J Med, 2011; No.124, pp.816-817 (PMID:21854889 DOI:10.1016/j.amjmed.2011.01.029)
  • Taybos G. Oral changes associated with tobacco use. Am J Med Sci, 2003, No.326, pp.179-182 (PMID:14557730 DOI:10.1097/00000441-200310000-00005)
  • Essential Otolaryngology Head and Neck Surgery K.J.Lee, 3th Edition Appleton and Lange Stamford, Connecticut, pp.464.
  • Mc Gregor JM, Hay RJ. Oral retinoids to treat black hairy tongue. Clinic Exp Dermatol 1993,No.18, p.291.
  • Allen CM, Blozis GG. Oral Mucosal Lesions. Otolaryngology Head and Neck Surgery. Ed: Cummings CW, Second Edition 1992, Chapter 76 p:1379.
  • Vano-Galvan S, Jaen P. Black hairy tongue. Cleve Clin J Med, 2008,No.75, pp.847-848 (PMID:19088002 DOI:10.3949/ ccjm.75a.08023)