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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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