Oral hairy leukoplakia

Question 1

CD4 count less than?

Answer 1

OHL emerges from latency in advanced HIV disease and causes benign mucosal hyperplasia. Occurs with CD4+ cell count<300/μL.

Question 2

manif

Answer 2

White or grayish-white, well-demarcated plaques with corrugated texture. Most commonly on the lateral and inferior surace so the tongue.Often present bilaterally.Oropharyngeal candidiasis often present as well.

Question 3

Dx

Answer 3

Diagnosis.Clinical diagnosis.

Lesions do not rub off;does not clear with adequate anti candidal therapy.

Question 4

Tx

Answer 4

Podophyllin 25% in tincture of benzoin applied to the lesion with a cotton-tipped applicator for 5 minutes. Effective cART results in regression and clearing ofOHL.