Account Options Sign in. A Systematic Arrangement of British Plants. William Withering , William MacGillivray. Scott and Webster , - Botany - pages.
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Hairy tongue is an uncommon, benign condition that is also known as black hairy tongue or lingua nigra. It is characterized by abnormal elongation and blackish or dark brownish discoloration or "staining" of the thread-like elevations filiform papillae that cover most of the tongue's surface dorsum linguae. Such changes often begin at the back posterior region of the top of the tongue and extend toward the front anterior of the tongue's surface but never involve the undersurface. The specific underlying cause of hairy tongue is unknown. Such changes typically occur in a triangular region in front of the circumvallate papillae, which are the largest papillae of the tongue. As noted above, the back region of the top of the tongue may initially be affected with subsequent extension toward the front. Many individuals with hairy tongue have no associated symptoms asymptomatic.
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Fissured tongue is a normal variant of tongue appearance and is not considered a pathological entity. It generally presents in healthy people; however, it is also seen in association with conditions such as Down's syndrome and geographic tongue. If the sole manifestation is that of fissured tongue, then no investigations or treatment are usually necessary. Hairy tongue occurs when the physiological balance between keratin production and shedding through normal oral function is chronically disrupted with consequent elongation of the keratinised component of the filiform papillae that cover the tongue dorsum. Poor oral intake during illness or oral discomfort secondary to oral ulcerative conditions are examples of situations where physiological keratin shedding secondary to mechanical debridement may be reduced.
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