Black hairy tongue in a patient with amyotrophic lateral sclerosis
Identifieur interne : 000857 ( Pmc/Checkpoint ); précédent : 000856; suivant : 000858Black hairy tongue in a patient with amyotrophic lateral sclerosis
Auteurs : Matteo Erriu [Italie] ; Francesca Maria Giovanna Pili [Italie] ; Gloria Denotti [Italie] ; Valentino Garau [Italie]Source :
- Journal of International Society of Preventive & Community Dentistry [ 2231-0762 ] ; 2016.
Abstract
Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of poor oral hygiene. In this perspective, the patients affected by amyotrophic lateral sclerosis (ALS) represent a high-risk category for the occurrence of BHT. The fast and inexorable loss of their self-sufficiency due to progressive muscle atrophy as well as the impropriate education of healthcare assistants have demonstrated to have significant reflection on the maintenance of an adequate standard of oral hygiene. This paper firstly described a case of BHT in a patient affected by ALS. A case of BHT in a patient (Caucasic, male, 63 years old) affected by ALS was described. The primary goal of the work was to teach and motivate the patient to the use of the tongue cleaner in association with the local application of chlorexidine 0.20%. Furthermore, in order to support the patient with accurate domiciliary oral hygiene, a proper training for his health-care assistant was provided. The maintenance of the oral health of ALS patient is fundamental to prevent systemic complications that could jeopardize the already fragile physical balance of these patients. The dedicated monitoring by a dentist or a dental hygienist would seem essential in order to achieve this objective.
Url:
DOI: 10.4103/2231-0762.175408
PubMed: 27011938
PubMed Central: 4784070
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of poor oral hygiene. In this perspective, the patients affected by amyotrophic lateral sclerosis (ALS) represent a high-risk category for the occurrence of BHT. The fast and inexorable loss of their self-sufficiency due to progressive muscle atrophy as well as the impropriate education of healthcare assistants have demonstrated to have significant reflection on the maintenance of an adequate standard of oral hygiene. This paper firstly described a case of BHT in a patient affected by ALS. A case of BHT in a patient (Caucasic, male, 63 years old) affected by ALS was described. The primary goal of the work was to teach and motivate the patient to the use of the tongue cleaner in association with the local application of chlorexidine 0.20%. Furthermore, in order to support the patient with accurate domiciliary oral hygiene, a proper training for his health-care assistant was provided. The maintenance of the oral health of ALS patient is fundamental to prevent systemic complications that could jeopardize the already fragile physical balance of these patients. The dedicated monitoring by a dentist or a dental hygienist would seem essential in order to achieve this objective.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Int Soc Prev Community Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Int Soc Prev Community Dent</journal-id>
<journal-id journal-id-type="publisher-id">JISPCD</journal-id>
<journal-title-group><journal-title>Journal of International Society of Preventive & Community Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2231-0762</issn>
<issn pub-type="epub">2250-1002</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27011938</article-id>
<article-id pub-id-type="pmc">4784070</article-id>
<article-id pub-id-type="publisher-id">JISPCD-6-80</article-id>
<article-id pub-id-type="doi">10.4103/2231-0762.175408</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Black hairy tongue in a patient with amyotrophic lateral sclerosis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Erriu</surname>
<given-names>Matteo</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pili</surname>
<given-names>Francesca Maria Giovanna</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Denotti</surname>
<given-names>Gloria</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Garau</surname>
<given-names>Valentino</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Surgical Science, Cagliari University, Cagliari, Italy</aff>
<author-notes><corresp id="cor1"><bold>Corresponding author</bold>
(email: <<email xlink:href="matteoerr@gmail.com">matteoerr@gmail.com</email>
>) Dr. Matteo Erriu, Dipartimento di Scienze Chirurgiche, Università degli studi di Cagliari, Via Binaghi 4, Cagliari - 09121, Italy.
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jan-Feb</season>
<year>2016</year>
</pub-date>
<volume>6</volume>
<issue>1</issue>
<fpage>80</fpage>
<lpage>83</lpage>
<permissions><copyright-statement>Copyright: © Journal of International Society of Preventive and Community Dentistry</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p>
</license>
</permissions>
<abstract><p>Black hairy tongue (BHT) is a condition characterized by the elongation of filiform papillae associated with a marked discoloration, from yellowish-brown to black, and a thick lingual coating. BHT is usually observed in the elderly and in patients with limited self-sufficiency, as a consequence of poor oral hygiene. In this perspective, the patients affected by amyotrophic lateral sclerosis (ALS) represent a high-risk category for the occurrence of BHT. The fast and inexorable loss of their self-sufficiency due to progressive muscle atrophy as well as the impropriate education of healthcare assistants have demonstrated to have significant reflection on the maintenance of an adequate standard of oral hygiene. This paper firstly described a case of BHT in a patient affected by ALS. A case of BHT in a patient (Caucasic, male, 63 years old) affected by ALS was described. The primary goal of the work was to teach and motivate the patient to the use of the tongue cleaner in association with the local application of chlorexidine 0.20%. Furthermore, in order to support the patient with accurate domiciliary oral hygiene, a proper training for his health-care assistant was provided. The maintenance of the oral health of ALS patient is fundamental to prevent systemic complications that could jeopardize the already fragile physical balance of these patients. The dedicated monitoring by a dentist or a dental hygienist would seem essential in order to achieve this objective.</p>
</abstract>
<kwd-group><kwd><italic>Amyotrophic lateral sclerosis</italic>
</kwd>
<kwd><italic>black hairy tongue</italic>
</kwd>
<kwd><italic>hairy tongue</italic>
</kwd>
<kwd><italic>oral hygiene</italic>
</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Italie</li>
</country>
</list>
<tree><country name="Italie"><noRegion><name sortKey="Erriu, Matteo" sort="Erriu, Matteo" uniqKey="Erriu M" first="Matteo" last="Erriu">Matteo Erriu</name>
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<name sortKey="Denotti, Gloria" sort="Denotti, Gloria" uniqKey="Denotti G" first="Gloria" last="Denotti">Gloria Denotti</name>
<name sortKey="Garau, Valentino" sort="Garau, Valentino" uniqKey="Garau V" first="Valentino" last="Garau">Valentino Garau</name>
<name sortKey="Pili, Francesca Maria Giovanna" sort="Pili, Francesca Maria Giovanna" uniqKey="Pili F" first="Francesca Maria Giovanna" last="Pili">Francesca Maria Giovanna Pili</name>
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