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Jorden Prewitt
Marissa Martin
General and Oral Pathology
October 7th, 2017
Case Study
prophylaxis. Oral examination revealed a brown hairy plaque on the dorsal tongue.
The patient first noticed this approximately three months ago. The patient was not
aware of any changes of this region within the time period. There is no pain or
discomfort and the patient smokes a pack of cigarettes per day for the last 10 years.
The patient is not on any medications and vitals were all within normal limits. The
extra-oral exam had no notable findings and the intra-oral exam revealed a large
The patient is diagnosed with hairy tongue because the patient has an
appearance. Normally this lesion is white but is stained by tobacco use and appears
brown or blackish. This lesion occurs on the posterior dorsal surface of the tongue.
The patient does not have hairy leukoplakia because this lesion commonly
occurs on the lateral borders of the tongue. An irregular, corrugated white lesion
characterizes this lesion. This lesion has also been linked to Epstein-Barr virus,
which can be identified in the epithelial cells. Hairy leukoplakia was first identified
The patient does not have benign migratory glossitis. The clinical appearance
involves the anterior two-thirds of the dorsal and lateral boarders of the tongue.
The patient does not have median rhomboid glossitis because this condition
midline of the dorsal surface of the tongue. It is devoid of filiform papillae; which
The patient does not have hyperplastic candidiasis presents as a white lesion
that does not wipe off the mucosa and is located on the entire dorsal surface and
lateral boarders of the tongue. This condition can be treated with antifungal
medications.
Haleigh Turley
Jorden Prewitt
Marissa Martin
General and Oral Pathology
October 7th, 2017
Resources
Ibsen, O. A., & Phelan, J. A. (2014). Oral pathology for the dental hygienist (7th ed.). St.
Louis, MO: Elsevier Saunders.