RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57672500
T1 Chapter 37. Black Hairy Tongue
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57672500
RD 2024/04/19
AB A  60-year-old  man  who  smokes  presents  to  the  physician's  office  smelling  of  alcohol.  He  complains  of  a  black  discoloration  of  his  tongue  and  a  gagging  sensation  on  occasion.  He  admits  to  smoking  1  to  2  packs  per  day  along  with  drinking  at  least  6  to  8  beers  per  day.  The  patient  brushes  his  teeth  infrequently  and  has  not  seen  a  dentist  for  a  long  time.  On  physical  exam,  his  teeth  are  stained  and  his  tongue  shows  elongated  papillae  with  brown  discoloration  (Figure  37-1).  Diagnoses  include  black  hairy  tongue  (BHT),  poor  oral  hygiene,  and  tobacco  and  alcohol  addiction.