Tongue

Oral Hairy Leukoplakia

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Oral Hairy Leukoplakia, Hairy Leukoplakia

  • Causes
  1. Epstein-Barr Virus (Mononucleosis)
  2. Immunodeficiency (including HIV)
  • Signs
  1. Vertical white striations on Tongue appear similar to hairs
  2. Distributed over lateral dorsum of Tongue (unilateral or bilateral)
  1. Monospot
  2. HIV Test
  • Management
  1. May respond to antiviral agents (may also recur after course completed)
    1. Acyclovir 800 mg 5 times daily for 1-3 weeks
    2. Ganciclovir 100 mg 3 times daily for 1-3 weeks
  • References
  1. Reamy (2010) Am Fam Physician 81(5): 627-34 [PubMed]