A member asked:

What the difference between oral thrush and hairy leukoplakia and which one is associated with hiv. is white the same as oral thrust and is it associated with hiv. neg hiv insti 3 generation at 5 months but positive for ebv?

2 doctors weighed in across 2 answers

Very different (but look very similar). Oral leukoplakia is a pre-malignant process on the tongue that is easy to confuse with oral thrush. Oral HAIRY leukoplakia is a benign lesion of the tongue often associated with EBV infection and HIV infection. Oral thrush is a yeast infection - looks similar to the other 2 but quite different. See an Infectious Diseases doctor (or Oral Surgeon)

Answered 3/5/2021

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Oral thrush is a yeast infection which can present as a white patch. A leukoplakic or white lesion has many forms in color, shape, or texture. Hairy leukoplakia often occurs on the sides of tongue , like overgrown taste buds. It is common in positive HIV cases but so is thrust . Other viruses can display similar signs and symptoms .

Answered 3/8/2021

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