Criteria for the Diagnosis of Hairy Oral Leukoplakia

Are you evaluating a patient with oral leukoplakia?

Yes

Does the leukoplakia involve one or both laterals aspects of the tongue?

Yes

Gender of the patient

Male

Female

Does the patient have sex with other men?

Yes

Is the patient a sex-worker?

Yes

Does the patient have sex with an intravenous drug abuser?

Yes

Does the woman have sex with homosexual or bisexual men?

Yes

Has the patient ever received a pooled plasma protein product lacking complete viral inactivation?

Yes

Is the patient an intravenous drug abuser?

Yes

Is the patient HIV-positive?

Yes

Are balloon cells seen in a biopsy of the lesion?

Yes

Does the lesional biopsy show bandlike or projecting hyperkeratosis?

Yes

Select the appropriate answer for each finding

Regression of lesion to local or systemic antifungal therapy

Inflammatory cell infiltrate in biopsy

In situ hybridization for Epstein-Barr DNA

Electron microscopy for herpes-virus like particles

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Data complete?

Evaluation appropriate?

Is patient in the typical risk population?

Number of clinical features present

Number of typical pathologic features present

Is there evidence of Epstein-Barr virus in the lesions?

Is the lesion oral hairy leukoplakia?

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Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Criteria for Diagnosis of Oral Hairy Leukoplakia

Purpose: To evaluate a patient with a white lesion of the tongue for the diagnosis of oral hairy leukoplakia.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10