Hairy tongue

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Hairy tongue

mohs
Medical Student

19 yo male patient medically free, come with painless tongue fissure in the mid line and like a villous arising from it_as you can see in the picture_ which is noted 3 years ago, he is heavy smoker 5 years duration. He ask a doctor and till him its a geographic tongue and give him vitamins and supplements. As a medical student i advice him to take a biopsy, is that right? And what is the possible ddx plz?

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