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Dermoscopic features of a black hairy tongue in 2 Japanese patients.

Kobayashi K, Takei Y, Sawada M, Ishizaki S, Ito H, Tanaka M - Dermatol Res Pract (2010)

Bottom Line: The objective was to identify additional dermoscopic criteria.We have shown characteristic dermoscopic features of brownish hair-like elongation of filiform papillae with whitish lingual papillae.It might also be helpful in more objective observation of the therapeutic efficacy.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Tokyo Women's Medical University Medical Center East, 2-1-10, Nishi-Ogu, Arakawa-ku, Tokyo 116-8567, Japan.

ABSTRACT
Dermoscopic features of a black hairy tongue have never been reported. Dermoscopy might be useful in speculating pathologic features of oral lesions. The objective was to identify additional dermoscopic criteria. Two Japanese patients who were clinically given a diagnosis of "black hairy tongue" were evaluated for dermoscopic features. We have shown characteristic dermoscopic features of brownish hair-like elongation of filiform papillae with whitish lingual papillae. Dermoscopic examination seemed useful as an adjunct to the diagnosis of this benign disorder of the tongue, demonstrating exact changes in shape and color of filiform papillae. It might also be helpful in more objective observation of the therapeutic efficacy.

No MeSH data available.


Related in: MedlinePlus

(a) Black hairy tongue on the dorsum of the tongue (Case 2). (b) Numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (▲) (Case 2).
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fig2: (a) Black hairy tongue on the dorsum of the tongue (Case 2). (b) Numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (▲) (Case 2).

Mentions: A 77-year-old Japanese woman complained of hyperesthesia of the tongue with brown colored discoloration occurring about three months after a treatment of oral candidiasis. Physical examination revealed yellowish brown to brownish black discoloration on the dorsum of the tongue (Figure 2(a)). KOH-prepared direct microscopy demonstrated fungal elements. Dermoscopic examination demonstrated numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (Figure 2(b)). Candida albicans was isolated and identified by cultivation on ATG ager. The patient was treated with oral itraconazole and most of black discoloration of the tongue subsided promptly after the treatment.


Dermoscopic features of a black hairy tongue in 2 Japanese patients.

Kobayashi K, Takei Y, Sawada M, Ishizaki S, Ito H, Tanaka M - Dermatol Res Pract (2010)

(a) Black hairy tongue on the dorsum of the tongue (Case 2). (b) Numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (▲) (Case 2).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2913535&req=5

fig2: (a) Black hairy tongue on the dorsum of the tongue (Case 2). (b) Numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (▲) (Case 2).
Mentions: A 77-year-old Japanese woman complained of hyperesthesia of the tongue with brown colored discoloration occurring about three months after a treatment of oral candidiasis. Physical examination revealed yellowish brown to brownish black discoloration on the dorsum of the tongue (Figure 2(a)). KOH-prepared direct microscopy demonstrated fungal elements. Dermoscopic examination demonstrated numerous brownish hair-like elongation of filiform papillae covering over whitish lingual papillae (Figure 2(b)). Candida albicans was isolated and identified by cultivation on ATG ager. The patient was treated with oral itraconazole and most of black discoloration of the tongue subsided promptly after the treatment.

Bottom Line: The objective was to identify additional dermoscopic criteria.We have shown characteristic dermoscopic features of brownish hair-like elongation of filiform papillae with whitish lingual papillae.It might also be helpful in more objective observation of the therapeutic efficacy.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Tokyo Women's Medical University Medical Center East, 2-1-10, Nishi-Ogu, Arakawa-ku, Tokyo 116-8567, Japan.

ABSTRACT
Dermoscopic features of a black hairy tongue have never been reported. Dermoscopy might be useful in speculating pathologic features of oral lesions. The objective was to identify additional dermoscopic criteria. Two Japanese patients who were clinically given a diagnosis of "black hairy tongue" were evaluated for dermoscopic features. We have shown characteristic dermoscopic features of brownish hair-like elongation of filiform papillae with whitish lingual papillae. Dermoscopic examination seemed useful as an adjunct to the diagnosis of this benign disorder of the tongue, demonstrating exact changes in shape and color of filiform papillae. It might also be helpful in more objective observation of the therapeutic efficacy.

No MeSH data available.


Related in: MedlinePlus