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hyperpigmentation of tongue papillae

A 25yr old male patient complained of lesion at back of tongue, accidental discovery.

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Fungiform papillae. Pigmented fungiform papillae of the tongue are a benign condition that is characterized by pigmentation involving the fungiform papillae. It is more common in dark-skinned individuals, and most reported cases are adults between the second and third decades. However, few cases were reported in children. Most iatrogenic pigmented lesions in the oral cavity are benign and their pigmentation is due to excessive production of melanin, which is produced by melanocytes. ... The clinical visible pigmentation in the oral cavity depends on the number of melanocytes or the degree of melanin produced by these cells.

Ask about proper tongue cleansing done regularly, food habits like oily spicy food,any medications. tobacco history Oral candidiasis

Candidiasis tongue

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? Focal Physiologic Melanosis If it increases biopsy must be done. Can transform into Melanoma.

Candidiasis tongue

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SUGGESTIVE OF MEDICINAL INDUCED HYPERPIGMENTATION

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Lingua Villosa Nigra/Black hairy tongue

Median rhomboid glossitis

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Coated tongue with ?candiasis

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Lingua Villosa Nigra

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