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         Hairy Leukoplakia:     more detail

21. Aids
AIDS related viral infections. hairy leukoplakia (a tongue symptom) Herpes Zoster (Shingles) Herpes Simplex (cold sore virus)
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. AllRefer Health - Leukoplakia Prognosis (Expectations) (Hairy Leukoplakia, Smoke
Leukoplakia (hairy leukoplakia, Smoker s Keratosis) information center coversPrognosis (Expectations).
http://health.allrefer.com/health/leukoplakia-prognosis.html

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Web health.allrefer.com You are here : AllRefer.com Health Leukoplakia : Prognosis of Leukoplakia
Leukoplakia
Definition Prevention
Treatment

Expectations or Prognosis Complications
Calling Your Health Care Provider

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Alternate Names : Hairy Leukoplakia, Smoker's Keratosis Leukoplakia Prognosis (Expectations) Leukoplakia is usually harmless, and lesions usually clear in a few weeks or months after the source of irritation is removed. Approximately 3% of leukoplakia lesions develop cancerous changes.
Hairy leukoplakia is often a sign of HIV infection and an increased likelihood of developing AIDS
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Jump to another section Definition Leukoplakia Prevention Leukoplakia Treatment Leukoplakia Prognosis Leukoplakia Complications Calling Your Health Care Provider Topics that might be of interest to you AIDS HIV Infection Mouth Ulcers Oral Cancer ... Biopsy Other Topics Chronic Vulva Review Date : 11/7/2002 Reviewed By : Ezra E. W. Cohen, M.D., Department of Medicine, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.

23. OI: Oral Hairy Leukoplakia -- ÆGIS
Oral hairy leukoplakia (OHL) is often the first opportunistic to appear.Symptoms include white lesions on the edgest of the tongue.
http://www.aegis.com/topics/oi/oi-ohl.html
Oral Hairy Leukoplakia
"O.H.L." This is part of a series on Opportunistic Infections ("OIs"). Please note that
  • This Page Is Just A Starting Point: who specializes in treating HIV.
  • Finding The Latest Information: Advances in treating opportunistic infections can happen at any time, so the material on this page may be outdated. Some links in the see also section at the bottom of this page are actually special database links. They may contain information published after this page was written.
    Classification
    virus
    Description
    • Oral Hairy Leukoplakia (OHL) is often the first opportunistic to appear.
    • Symptoms include white lesions on the edgest of the tongue.
    • OHL is caused by the Epstein-Barr virus (EBV).
    • It occurs almost exclusively in men with HIV. This opportunistic infection indicates serious damage to the immune system.
    • The US Centers For Disease Control considers this a Category B (ARC-defining) illness.
    Danger Zone
    • O.H.L. is possible at any CD4+ range, but it is more likely in those with CD4+ counts under 200 cells/mm.
    NOTE: If you are undergoing treatment that has increased your CD4+ levels, see the important note on
  • 24. Oral Hairy Leukoplakia. A Distinctive Marker Of Human T-cell
    Oral hairy leukoplakia (HL) is a newly described lesion occurring principally onthe lateral borders of the tongue in immunosuppressed homosexual men
    http://www.aegis.com/aidsline/1987/aug/M8780042.html
    Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.
    Oral hairy leukoplakia. A distinctive marker of human T-cell lymphotropic virus type III (HTLV-III) infection. Arch Dermatol. 1987 May;123(5):624-8. Unique Identifier : AIDSLINE MED/87212100
    Lupton GP; James WD; Redfield RR; Brown C; Rodman OG Abstract: Keywords:
    National Library of Medicine
    . Reproduced under license with the National Library of Medicine, Bethesda, MD. AEGiS is made possible through unrestricted grants from Boehringer Ingelheim iMetrikus, Inc. , the National Library of Medicine , and donations from users like you. Always watch for outdated information. This article first appeared in . This material is designed to support, not replace, the relationship that exists between you and your doctor. AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

    25. Hairy Leukoplakia
    hairy leukoplakia is a unique whitish, irregular plaque of the side of the While the virus is under control, hairy leukoplakia diminishes or disappears.
    http://www.maxillofacialcenter.com/BondBook/mucosa/hairyleuk.html
    Hairy Leukoplakia in AIDS
    Quick Summary
    Introduction

    References

    Photos
    ...
    Prognosis

    The Gauley River in West Virginia, above the dam.
    Quick Review
    Hairy leukoplakia is a unique whitish, irregular plaque of the side of the tongue, sometimes with surface projections long enough to appear to be "hairs" but usually with only a granular or nodular appearance. It rarely is seen at on the cheek mucosa near the corners of the lips, and look-alike lesions have been reported in HIV-negative patients, especially those with lichen planus. This lesion causes no significant problem but it is a sign of AIDS, hence, the treatment is directed at the generalized and very serious HIV virus disease. While the virus is under control, hairy leukoplakia diminishes or disappears. Most lesions have virus, bacteria and fungi within them but they are not considered contagious in the usual sense. Top of This Page
    Introduction Note: click on underlined words for more detail or photos. A well-demarcated, painless, verruciform hyperkeratotic lesion of the lateral tongue in HIV-infected male homosexuals was first reported in 1981 as

    26. Leukoplakia
    A type of leukoplakia called hairy leukoplakia primarily affects people whose hairy leukoplakia causes fuzzy, white patches that resemble folds or
    http://www.cnn.com/HEALTH/library/DS/00458.html
    var cnnSiteWideCurrDate = new Date(2005, 8, 9); International Edition Member Services
    • Home Page World ... Contact Us In association with:
      SENIORS' HEALTH Dental Care Leukoplakia INFORMATION CENTERS: Pick a category Health Centers Family Health Men's Health Women's Health Children's Health Seniors' Health Working Life Pain Management Condition Centers Immune System Allergy Alzheimer's Arthritis Respiratory System Cancer Endocrine System Digestive System Heart and Blood Infectious Disease Mental Health Note: All links within content go to MayoClinic.com Diseases and Conditions Leukoplakia From MayoClinic.com
      Special to CNN.com
      Overview Although anyone can develop leukoplakia, it's most common in older men. People with compromised immune systems sometimes develop an unusual form of the disorder called hairy leukoplakia. In general, leukoplakia isn't painful, but the patches may be sensitive when you touch them or eat spicy foods. And though the disorder usually isn't dangerous, it can be serious. A small percentage of leukoplakic patches show early signs of cancer, and many cancers of the mouth (oral cancers) occur next to areas of leukoplakia. For that reason, it's best to see your dentist if you have unusual changes in your mouth lasting longer than a week.
    • Oral and throat cancer Cancer
    • Signs and symptoms
      • White color Thick, rough texture

    27. Untitled Document
    hairy leukoplakia Herpes Zoster Kaposi s Sarcoma Bacillary Angiomatosis Eosinophilic Folliculitis Seborrheic Dermatitis Oral Kaposi s Sarcoma
    http://www.research.bidmc.harvard.edu/VPTutorials/HIV/Tphot03.htm
    Virtual Patient Reference Library Clinical Images in HIV page Mucocutaneous Lesions Pseudomembranous Candidiasis Atrophic Candidiasis Hairy Leukoplakia Herpes Zoster ... Aphthous Ulceration Neurocognitive Manifestations Atrophy on CT Scan Cryptococcus on India Ink Toxoplasmosis on CT Scan PML on MRI Scan ... CNS Lymphoma on CT Scan last update August 2002 Hairy Leukoplakia Hairy leukoplakia is a characteristic oral lesion associated with HIV infection. It presents as white, raised, vertical corrugations, most often on the lateral margins of the tongue. This lesion is believed to be caused by Epstein-Barr virus and often regresses in response to antiviral therapy. While hairy leukoplakia by itself is neither painful nor dangerous, it has a negative prognostic implication for HIV disease progression.

    28. Hairy Leukoplakia
    hairy leukoplakia is a condition that causes thick, white patches to develop onthe tongue. The condition
    http://my.webmd.com/hw/health_guide_atoz/sth149526.asp
    var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home
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    Who We Are About WebMD Site Map You are in Medical Library Our Content Sources Ask A Question Clinical Trials Health Guide A-Z Health Topics Symptoms Medical Tests Medications ... Support Organizations Hairy leukoplakia Hairy leukoplakia is a condition that causes thick, white patches to develop on the tongue. The condition may develop into cancer over time. Hairy leukoplakia usually occurs in people who have a severely weakened immune system, such as those with AIDS. The Epstein-Barr virus (EBV) may play a role in the development of hairy leukoplakia. To back to the top Hairy leukoplakia Previous Next Search the Help Last updated: May 27, 2005 Print-Friendly Version This information is not intended to replace the advice of a doctor. Medscape for Physicians Medscape for Healthcare Professionals Corporate Contact Us ... WebMD

    29. Dental Health: Leukoplakia
    Hairy leukoplakia of the mouth is an unusual form of leukoplakia that is seen only hairy leukoplakia requires treatment with an antiviral medication.
    http://my.webmd.com/content/article/66/79631.htm?z=4208_00000_9002_to_09

    30. Hairy Leukoplakia
    Otolaryngology Tongue hairy leukoplakia. Tongue Index, Geographic,hairy leukoplakia, Indented, Paralysis, Scrotal, Smooth, Varicosities
    http://www.fpnotebook.com/ENT203.htm
    Home About Links Index ... Editor's Choice document.write(code); Advertisement Otolaryngology Tongue Assorted Pages Geographic Tongue Hairy leukoplakia Indented Lateral Margins of Tongue Cranial Nerve 12 Paralysis ... Tongue Pain Hairy leukoplakia Hairy Tongue Black Tongue Furry Tongue Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Otolaryngology Index Allergy Dermatology Ear Disease Examination Hearing Hematology and Oncology Infectious Disease Laboratory Laryngeal Disease General Lip Throat Disease Neurology Neonatology Nasal Disease Obstetrics Pharmacology Procedure Radiology Salivary Sinus Disease Sports Medicine Surgery Symptom Evaluation Tongue Vertigo Page Tongue Index Geographic Hairy Leukoplakia Indented Paralysis Scrotal Smooth Varicosities
  • Pathophysiology Hyperplasia of filiform papillae Overgrowth of mycelial threads Aspergillus niger Candida albicans Symptoms Painless Signs Hair " of elongated papillae on Tongue dorsum Yellowish to brown or black coloration Velvety, or shaggy, asymptomatic keratoses
  • 31. HealingWell.com Community Forum
    MY QUESTON ISIf i have ORAL hairy leukoplakia in which stage of AIDS am I visited several doctors for oral hairy leukoplakia but nobody really
    http://www.healingwell.com/community/default.aspx?f=6&m=222975

    32. Case 2: Oral Hairy Leukoplakia - Oral Manifestations - HIV Web Study
    Figure 1 Oral hairy leukoplakia Figure 1 Linked images will open in a new window.Figure 2 - Oral hairy leukoplakia Lesion on Lateral Tongue Figure 2
    http://depts.washington.edu/hivaids/oral/case2/
    Question Discussion References CME Credit
    Case 2: Oral Hairy Leukoplakia
    Authors: David H. Spach, MD Mark M. Schubert, DDS, MSD Last updated: June 30, 2004 A 35-year-old HIV-infected man with a CD4 count of 100 cells/mm visits the clinic for a routine appointment. On examination, white papular lesions are observed bilaterally on the lateral aspect of his tongue ( Figure 1 and Figure 2 ). These white lesions are presumptively diagnosed as oral hairy leukoplakia. Which of the following statements is TRUE regarding oral hairy leukoplakia? It occurs in approximately 5% of persons infected with hepatitis C virus (who are not co-infected with HIV). It is caused by infection with human herpes virus type 8 (HHV-8). It is caused by infection with Epstein-Barr virus. Approximately 15% of lesions develop into premalignant lesions that require surgical removal.
    Figure 1
    Figure 2 Home About This Site free CME NW AETC ... Postexposure Prophylaxis

    33. Case 2: Oral Hairy Leukoplakia - Oral Manifestations - HIV Web Study
    Although oral hairy leukoplakia is an excellent marker of immune suppression, itrarely causes clinical symptoms. There is no evidence that these lesions
    http://depts.washington.edu/hivaids/oral/case2/4.html
    Question Discussion References CME Credit
    Case 2: Oral Hairy Leukoplakia
    You answered: Approximately 15% of lesions develop into premalignant lesions that require surgical removal. This answer is incorrect. Although oral hairy leukoplakia is an excellent marker of immune suppression, it rarely causes clinical symptoms. There is no evidence that these lesions are premalignant or are associated with any other oral lesion. Choose another answer: It occurs in approximately 5% of persons infected with hepatitis C virus (who are not co-infected with HIV) It is caused by infection with human herpes virus type 8 (HHV-8) It is caused by infection with Epstein-Barr virus Back to Case 2 Question ... Postexposure Prophylaxis

    34. I Have Hairy Leukoplakia But Tested Negative At 17 Weeks. Could The Antibiotics
    the lateral sides of my tounge that look like hairy leukoplakia I saw in adermatology book. The hairy leukoplakialike spots went away in about a week,
    http://hivinsite.ucsf.edu/insite?page=ask-01-03-01

    35. Forum On HIV And Oral Health: Shape Of Hairy Leukoplakia
    Ask the experts your questions on oral health and HIV at The Body, the AIDSAuthority. Got questions on thrush? Dry mouth? This is the place to get your
    http://www.thebody.com/Forums/AIDS/Oral/Archive/Leukoplakia/Q2885.html
    @import url(/css/thebody.css); @import url(/css/forums.css);

    Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered. Ask the Experts about Oral Health and HIV
    Shape of Hairy Leukoplakia
    Jun 11, 2000 Hello, Dr. Reznik, I have a question regarding the *shape* of HIV-associated hairy leukoplakia lesions. If one has long, thin, white streaks bilaterally on the side of the tongue is this due to trauma (i.e. tongue chewer) or could it also be due to HIV? Is HIV related leukoplakia always bulky and amorphous? Thanks, F.S.T. Response from Dr. Reznik Dear F.S.T.: Oral hairy leukoplakia usually does not present as a long, thin, white bilateral line on the lateral borders of the tongue, but rather as white, corrugated (rough) areas that can appear anywhere on the lateral border of the tongue.

    36. Oral Hairy Leukoplakia -- The Body: The Complete HIV/AIDS Resource
    Ask the experts your questions on oral health and HIV at The Body, the AIDSAuthority. Got questions on thrush? Dry mouth? This is the place to get your
    http://www.thebody.com/Forums/AIDS/Oral/Archive/Leukoplakia/
    @import url(/css/thebody.css); @import url(/css/forums.css);

    Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered. Ask the Experts about Oral Health and HIV
    Oral Hairy Leukoplakia
    hairy leukoplakia
    Jan 27, 2002 OHL or not... Apr 26, 2001 OHL Apr 26, 2001 OHL on one side only? Apr 8, 2001 hairy tounge and OHL Jan 18, 2001 Leukoplakia signs and symptoms... Jan 18, 2001 PLS. ANSWER, I KNOW YOU'RE BUSY!!!!!!!!! Sep 27, 2000 hairy tongue or oral hairy leukoplakia Aug 18, 2000 SLIDE QUESTION Jul 11, 2000 Shape of Hairy Leukoplakia Jun 11, 2000 leukoplakia Apr 28, 2000 I wrote earlier about geographic tongue and lichen planus... Apr 24, 2000 OHL as only symptom..or not OHL at all

    37. Hairy Leukoplakia
    10% of those with hairy leukoplakia have AIDS at the time of diagnosis with anadditional 20% develop the disease within a year
    http://www.dental.mu.edu/oralpath/lesions/Hairy Leukoplakia/hairyleukoplakia.htm
    Hairy Leukoplakia White patches of the lateral borders of the tongue with a tendency for vertical linear folds found in latency stages of HIV infected patients.
    Etiology: Related to the presence of Epstein-Barr virus. Also a positive correlation exsists between the depletion of peripheral CD4 cells and the presence of hairy leukoplakia. Clinical Features: well demarcated white lesion that varies from flat, plaquelike, to papillary/filiform or corrugated lesion
    typically occur along lateral margins of the tongue
    no associated symptoms except an associated infection of Candida albicans
    Histological Features: viral inclusions or peripheral displacement of chromatin with a smudgy nucleus
    ballooning degeneration and perinuclear clearing beneath the surface
    few subepithelial inflammatory cells
    Langerhans cells are scant
    intranuclear virions of EBV are present
    thickened epithelium containing an upper zone of clear cells
    Differential Diagnosis: idiopathic leukoplakia frictional hyperkeratosis leukoplakia associated with tobacco use * lichen planus lupus erythematous hyperplastic candidiasis Treatment: no specific treatment treatment of lesions with acyclovir ganciclovir tretinoin podophyllum Prognosis: approx. 10% of those with hairy leukoplakia have AIDS at the time of diagnosis with an additional 20% develop the disease within a year

    38. Oral Hairy Leukoplakia (OHL)
    Next Last Index Text. Slide 1 of 15.
    http://www.dental.mu.edu/oralpath/spresent/hairyleukoplakia/sld001.htm

    39. Leukoplakia, Hairy
    Leukoplakia, Hairy Medical.WebEnds.com. Oral hairy leukoplakia; Leukoplakia,Hairy, Oral; hairy leukoplakia; hairy leukoplakia, Oral; hairy leukoplakias
    http://medical.webends.com/kw/Leukoplakia, Hairy
    Medical.WebEnds.com - Medical Terminology Dictionary
    A B C D ... Z
    WWW Medical.WebEnds.com
    Leukoplakia, Hairy
    Oral Hairy Leukoplakia; Leukoplakia, Hairy, Oral; Hairy Leukoplakia; Hairy Leukoplakia, Oral; Hairy Leukoplakias; Hairy Leukoplakias, Oral; Leukoplakia, Oral Hairy; Leukoplakias, Hairy; Leukoplakias, Oral Hairy; Oral Hairy Leukoplakias Epithelial hyperplasia of the oral mucosa associated with Epstein-Barr virus ( HERPESVIRUS 4, HUMAN ) and found almost exclusively in persons with HIV infection . The lesion consists of a white patch that is often corrugated or hairy.
    Google links
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    40. Dr. Koop - Leukoplakia
    Hairy leukoplakia of the mouth is an unusual form of leukoplakia that is seen hairy leukoplakia may be one of the first signs of infection with HIV.
    http://www.drkoop.com/ency/93/001046.html
    Home Health Reference Leukoplakia Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library
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    Leukoplakia
    Injury Disease Nutrition Poison ... Prevention
    Leukoplakia
    Definition: Leukoplakia is a precancerous lesion that develops on the tongue or the inside of the cheek as a response to chronic irritation. Occasionally, leukoplakia patches develop on the female external genitalia.
    Alternative Names: Hairy leukoplakia; Smoker's keratosis
    Causes, incidence, and risk factors: Leukoplakia is primarily a disorder of the mucous membranes of the mouth, caused by irritation. Lesions usually develop on the tongue, but they may also appear on the insides of the cheek.
    Irritation may result from rough teeth or rough places on dentures, fillings, and crowns. It may also result from smoking or other tobacco use (smoker's keratosis). Pipe smoking involves a high risk for development of leukoplakia, as does holding chewing tobacco or snuff in the mouth for a prolonged period of time.
    Leukoplakia patches may develop on the female external genital area, but the cause is unknown.

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