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Conditions and Diseases > HIV and AIDS Forum > Oral hairy leukoplakia patch ?
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Q: Oral hairy leukoplakia patch ?
asked by: DoctorQuestion on March 8th, 2009
Dear doctor,

Is it possible for an oral hairy leukoplakia patch to appear suddenly in a normal looking tongue in a time of 2 days ? (assuming he or she is HIV positive)

If it is so, is there a mild pain before it appears ? If this is not the case how long will it take for this kind of patch to
develop ?

Can an HIV positive person develop this condition within 8-10 months of exposure ?

What are common conditions seen in HIV negative people that are similar to oral hairy leukoplakia ?

Thankyou


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Dr. Goce Aleksovski , MD
replied on March 12th, 2009
HIV and AIDS Answer A6019



Hairy leukoplakia is usually associated with HIV infection. However, it might be difficult for a person that is not health care professional to differentiate hairy leukoplakia from other forms that are usually caused by some less serious conditions. While every other leukoplakia is considered premalignant, it is not the case with oral hairy leukoplakia. Leukoplakia itself can be developed in several days, but in that case it is more probable that the leukoplakia is caused by infection and not by immune disorder. Immune deficiency usually takes longer to appear then the 8-10 months after HIV exposure that you reported.
You might want to visit a doctor to examine if the leukoplakia is really a hairy leukoplakia. Meanwhile, you might want to avoid some of the predisposing factors: smoking, alcohol.




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