Can Hairy Leukoplakia Be Scraped Off?
No , hirsute leukoplakia can not be scraped off . Hairy leukoplakia results from a benign hyperplasia of the epithelial stratum of the tongue while the unwritten candidiasis is a character of fungal contagion . Thus , although the ashen patches are see in both the condition , but the rationality of the blanched speckle are different . In hairy leukoplakia , the livid bandage are triggered by hyperkeratosis ( increase production of ceratin ) and hyperplasia ( addition in the number of epithelial cells ) while oral candidiasis have the white patch due settlement of fungus , and the utter cellphone getting pin between the lingua ’s nodules . This is the ground why the patches of moniliasis are scraped off while those due to leukoplakia are not wipe off .
Oral hairy leukoplakia ( leucos - white and Plax- flat surface or plate ) are the blanched patches usually occurring on the lateral surface of the clapper . These are caused due to
Epstein – Barr computer virus . It occurs normally in the HIV - taint patients and the affected role generally having compromised resistant system . Very rarely , it is found in otherwise healthy somebody . Oral hairy leukoplakia is a benign lesion and has no known voltage to develop into cancer . It is self - set and in general does not expect treatment .
Characteristics
clean patches are also the symptom of various oral diseases which are also uncouth in people with compromise resistant organization .
Causes of Oral Hairy Leukoplakia
unwritten haired leukoplakia is triggered by Epstein - Barr computer virus . Once the computer virus enters in the body , it remains permanent and dormant . As soon as the immune system of the body is compromise , the virus becomes active . unwritten hairy leukoplakia is usually seen in patient withHIV / AIDSand the hoi polloi with compromised resistant system of rules . In some example , it may be the first sign ofHIV / AIDS .
Risks Associated with Oral Hairy Leukoplakia
Oral hairy leukoplakia does not have the potential to change by reversal in to Cancer the Crab , but it certainly argue about the status of the patient ’s wellness . The patients with unwritten hairy leukoplakia have either AIDS / HIV or have compromised immune system . In very rarefied cases , healthy multitude suffer from unwritten hairy leukoplakia .
Diagnosis of Oral Hairy Leukoplakia
The diagnosing of oral hairy leukoplakia is done through differential diagnosis . The diagnosing of oral hairy leukoplakia is conducted in two stages : Provisional diagnosing and authoritative diagnosis . The provisional diagnosing is done on the basis of clinical feature as well the scrape test . In scrape trial , the maculation is genuflect off by the soup-strainer or tongue depressor . If the mend is scraped off , it is not oral hirsute leukoplakia . But when the clinical features are ambiguous , histologic interrogatory can be done . The definitive diagnosis of unwritten hirsute leukoplakia is by examining the nowadays of Epstein-Barr virus in the sample . If the patient has certain aesculapian conditions which does not allow for an incisional biopsy , then exfoliative cytology is commend .
Treatment for Oral Hairy Leukoplakia
Since oral hairy leukoplakia is benign , does not have the potency to turn into Crab and is asymptomatic , the handling is not required . However , there are cases where the patient is uncomfortable about the presence of leukoplakia or if the patches are make alteration in the taste . In such cases , various treatment options are recommend place from topical to systemic to surgical excision . In topical therapy , retinoids and podophyllum may provide irregular remission . The habit of anti - viral drug such as Retrovir , ganciclovir and acyclovir can leave in fade of the patches , but they may recur after the discontinuation of the drug therapy .
Conclusion
Hairy leukoplakia is the term characterized by ashen , non - irritating spot on the glossa with a hirsute appearance . The lily-white patches are also the characteristic feature of candidiasis create confusion between the diseases . This mix-up can in the main be authorize by conducting a scrape off test in which the white patches of the leukoplakia are not scrape off due to the reason that they are triggered by hyperkeratosis and epithelium hyperplasia . Confirmation of hairy leukoplakia is conduct when the clinical features are ambiguous . Nevertheless , the scrape off mental testing is important method acting which efficiently name the disease without make patient to undergo other complex method of diagnosing .
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