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HIV Lesions—A Photo Essay

HIV Lesions—A Photo Essay

A 30-year-old man with a 15 pack-year smoking history presented for a follow-up evaluation of an asymptomatic whitish lesion on the tongue that had not responded to oral therapy with nystatin or fluconazole. Multiple, nontender, whitish, vertical striations were noted along the right lateral edge of the lesion. A presumptive clinical diagnosis was made of oral hairy leukoplakia, the classic intraoral lesion of HIV/AIDS.

Image courtesy of James S. Studdiford III MD, Victor Diaz, MD, Amber Stonehouse Tully, MD,
and Danny Haddad, MD

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