A 31-year-old cisgender man with a new diagnosis of HIV presents for an initial evaluation visit. White plaques are noted on the lateral aspects of the tongue and do not scrape off (Figure 1). The initial CD4 count is 78 cells/mm3. He has never been a smoker.
Which one of the following is the most likely cause of this condition?
Figure 1. White Plaques on Lateral Region of Tongue
Source: Photograph from David H. Spach, MD
Figure 2. Oral Hairy Leukoplakia
Source: Photograph from David H. Spach, MD
Figure 3. Oral Hairy Leukoplakia on Lateral Tongue
Photograph courtesy of Mark Nichols, DDS, Dental Director, South Central AETC
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Question Last Updated
September 30th, 2023
September 30th, 2023
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