The value of the exfoliative cytology to the diagnosis of oral hairy leukoplakia - Case report
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2015, Vol 4, Issue 1
Abstract
Oral hairy leukoplakia is a lesion that generally occurs in tongue. It is characterized as a white patch in the side of the tongue with a corrugated or hairy appearance. The OHL affects patients with HIV infection and has characteristics that differ from oral leukoplakia. The etiology of oral hairy leukoplakia is linked to the infection of epithelial cells by Epstein-Barr virus. The objective of this paper is to report a case of atypical oral hairy leukoplakia in a patient with HIV infection. Male patient, 43 years old, was hospitalized complaining of abdominal pain and symptoms suggestive of jaundice. A white plaque was identified in his tongue during the clinical examination. This lesion was painless and not removable by scraping. A liquid-based cytology was performed and cytological analysis revealed structures suggestive of Candida sp. and cytological changes consistent with oral hairy leukoplakia (Cowdry Type A inclusion bodies, and Ground glass nuclei). The exfoliative cytology is a reliable test that can be used by a dentist and otolaryngologists to determine the diagnosis of atypical cases of oral hairy leukoplakia.
Authors and Affiliations
Jeniffer Kula, Thiago Batista, Indiara Henn, Antonio Adilson Soares de Lima
Keywords
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