An HIV-positive man whose last CD4+ cell count was 244 is noted to have a single painless raised, cauliflower-like lesion on the lateral tongue. This lesion most likely represents:

Question

Quizplus · Accepted Answer

Oral warts, caused by human papillomavirus, may be common in HIV-positive patients with low CD4+ cell counts. Oral warts present as cauliflower-like raised lesions, and are usually painless unless they have been traumatized. Aphthous stomatitis, cancrum oris, and oral herpes lesions would all be very painful. Kaposi's sarcoma lesions are usually described as darkly pigmented.

An HIV-Positive Man Whose Last CD4+ Cell Count Was 244