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Although the appearance of black hairy tongue is quite characteristic, asin the case described, whenever the objective examination is not so clear or there is not an aspect of lingual hairiness it is important to establish the differential diagnosis, especially with some pathologies that can be associated with dark pigmentation of the tongue, such as the pseudo-black hairy tongue caused by bismuth subsalicylate, melanoma, oral melanoacantoma, smoker's melanosis (melanocytic pigmentation), Addison's disease, hemochromatosis, acanthosis nigricans, Peutz- Jeghers syndrome, Laugier-Hunziker syndrome, as well as metals deposition if the clinical history is suggestive of this possibility [3,6,8]

First, three distinct categories of figures exist in Olmec art despite the fact that some figures straddle the boundary between two categories

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British Med J

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