Wednesday, November 5, 2008


Challenge: This man recently completed a course of antibiotics. What's the diagnosis?

Image is in the public domain.


Alex said...

from taking triple therapy for h pylori?

Craig Chen said...

interesting! I don't know...I think that could be correct. I was thinking something else, but I'll have to look up triple therapy.

This is black hairy tongue (lingua nigra), a benign condition associated with antibiotic use, candida albicans infection, and poor dental hygiene. Patients have elongated filiform papillae; therapy consists of brushing the tongue with toothpaste.

Sources: UpToDate; Wikipedia.