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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

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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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