MCQ – 66157

An HIV patient presented with a lesion on the tongue(which could not be wiped off) as shown in the image.This condition is caused by ? 

A.	HSV.
B.	EBV.
C.	CMV.
D.	HPV.

Show Answer

Correct Answer � B Explanation

Ans;B.)EBV

The condition shown in the picture above represents Oral hairy leukoplakia.

Oral Hairy leukoplakia

• It is a white patch on the side of the tongue with a corrugated or hairy appearance.
• It is caused by Epstein-Barr virus (EBV) .
• It occurs usually in persons who are immunocompromised, especially those with human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS)..
• The lesion is a white patch, which almost exclusively occurs on the lateral surfaces of the tongue, although rarely it may occur on the buccal mucosa, soft palate, pharynx or esophagus.
  • The texture is vertically corrugated (“hairy”) or thickly furrowed and shaggy in appearance.
• The white appearance is created by hyperkeratosis (overproduction of keratin) and epithelial hyperplasia.
  • There is no dysplasia (OHL is not a premalignant lesion).
• Treatment is not necessary since the lesion is benign