KILLI DİL

Kıllı dil, dilin sırt-üst yüzeyinin anormal sarı-kahverengi, bazende siyah renk saç benzeri oluşumlarla kaplanmasıyla karakterize iyi huylu, doğuştan olmayıp sonradan meydana gelen bir hastalıktır. Hastalar genellikle dilinde anormal görünüm, tad duyusunda azalma, ağız kokusu gibi şikayetlerle doktora başvurmaktadır. Kötü oral hijyen, sigara, alkol kullanımı, radyasyon, azalan tükürük salgısı, mekanik irritasyon, tetrasiklin, neomisin, steroid ve bazı psikotrop ilaçlar da kıllı dil oluşumunu tetikler. Bu makalemizde sigara içen ve fluoksetin kullanan hastamız sunulmuştur. Tedavide hastanın sigarayı bırakması ve fluoksetin dozunun psikiyatrist eşliğinde düşürülmesi, oral betadin solüsyon, dilini fırçalaması ve topikal retinoid uygulaması önerilmiştir

HAIRY TONGUE

Hairy tongue, the language of the back surface of the abnormal yellow-brown, sometimes characterized by good formation covered with hair like black-natured, is a disease that occurs later is not innate. Patients usually abnormal appearance of language, decreased sense of taste is visit a doctor with symptoms such as halitosis. Poor oral hygiene, smoking, alcohol consumption, radiation, decreased saliva, mechanical irritation, tetracycline, neomycin, steroids and some psychotropic drugs also triggers the formation of hairy tongue. This article has been presented in the literature to date information of our patients smoker and fluoxetine. Smoking cessation treatment and reducing the patient's psychiatrist in the presence of fluoxetine dose oral betadine solution, tongue brushing and application of topical retinoids has been suggested

___

  • 1)Heymann WR. Psychotropic agent-induced black hairy tongue. Cutis. 2000; 66: 25-6.
  • 2)Manabe M, Lim HW, Winzer M, Loomis CA. Architectural organization of filiform papillae in normal and black hairy tongue epithelium: disection of differentiation pathways in a complex human epithelium according to their patterns of keratin expres-sion. Arch Dermatol. 1999; 135: 177-81.
  • 3)Tamam L, Annagur BB. Black hairy tongue associated with olanzapine treatment: a case report. Mt Sinai J Med. 2006;73: 891-4.
  • 4)Pigatto PD, Spadari F, Meroni L, Guzzi G. Black hairy tongue associated with long-term oral erythromycin use. J Eur Acad Dermatol Venereol. 2008; 22: 1269-70.
  • 5)Avcu N, Kanli A. The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis. 2003; 9: 188-95.
  • 6)Calfee DP. Rifamycins. In: Mandell GL, Bennett JE, DolinR (eds). Principles and Practice of Infectious Diseases. 7th ed. Philadelphia: Elsevier Churchill Livingstone. 2010: 403-7.
  • 7)Salvatore M, Meyers BR. Tetracyclines and chloramphenicol. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of Infectious Diseases. 7th ed. Philadelphia: Elsevier Churchill Livingstone. 2010: 385-401.
  • 8)MC Gregor, JM, Hay RJ. Oral retinoids to treat black hairy tongue. Clinical and experimental dermatology. 1993; 18. 3: 291-291.
  • 9)Allen Carl M et al. Oral mucosal lesions. Otolaryngology: Head and Neck Surgery. 1992; 2: 1374-1375.
  • 10)Avcu N, Kanli A. The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis. 2003; 9: 188-95.
Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi-Cover
  • ISSN: 1304-6187
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2003
  • Yayıncı: Ankara Eğitim ve Araşt. Hast.