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Black carpet over tongue
  1. Abheek Sil,
  2. Dibyendu Bikash Bhanja,
  3. Sayantani Chakraborty
  1. Dermatology, Venereology, and Leprosy, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
  1. Correspondence to Dr Abheek Sil, Dermatology, Venereology, and Leprosy, RG Kar Medical College and Hospital, Kolkata, West Bengal 700004, India; abheek.sil{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2019-137208

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    A 27-year-old woman presented with blackish discolouration over the tongue for the last 2 weeks. She reported feeling nauseous and having a bad taste in her mouth. Three weeks prior to her present complaints, she had been prescribed minocycline for treatment of grade 3 acne. On examination, a brownish-black patch with prominent hair-like filiform lingual papillae covered the dorsum of tongue, giving a carpet-like appearance (figure 1). A diagnosis of black hairy tongue, secondary to minocycline …

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    Footnotes

    • Contributors AS contributed to conception, initial drafting of manuscript, critical revision of content and final approval of manuscript. DBB and SC contributed to conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer revie Not commissioned; externally peer reviewed.