Black hairy tongue

Black hairy tongue is produced when the papilla (finger-like projections from the surface of the tongue) fail to fall off as they normally do. As the length of the papilla increase, debris collects and bacteria grow, producing the characteristic dark "furry" appearance.

Update Date: 3/5/2011

Updated by: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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