RT Book, Section
A1 Usatine, Richard P.
A1 Gonsalves, Wanda C.
A1 Díaz, David Ojeda
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164344621
T1 Black Hairy Tongue
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164344621
RD 2024/04/24
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  is  brown,  coated  with  a  hairlike  appearance  toward  the  posterior  two-thirds  (Figure  39-1).  Diagnoses  include  black  hairy  tongue  (BHT),  poor  oral  hygiene,  and  tobacco  and  alcohol  addiction.