A 14-year-old bone marrow transplant patient developed bilateral white lesions of the lateral border of the tongue that measured 1 ´ 2 cm. Which of the following conditions should receive serious consideration in a clinical differential diagnosis?

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Quizplus · Accepted Answer

Hairy leukoplakia is a viral-induced lesion commonly found in immunosuppressed patients, such as those undergoing bone marrow transplantation. The bilateral white lesions on the lateral border of the tongue are consistent with the presentation of hairy leukoplakia. White sponge nevus presents as a diffuse white thickening of the oral mucosa, geographic tongue presents as red patches on the tongue, pemphigus vulgaris presents with blistering of the oral mucosa, and aphthous stomatitis presents with painful ulcers in the oral cavity.

A 14-Year-Old Bone Marrow Transplant Patient Developed Bilateral White Lesions