NUMERO: #20220195

Título: ORAL HAIRY LEUCOPLAKIA IN HIV-POSITIVE PATIENT: CASE REPORT

Nome do Apresentador: Letícia Almeida OLIVEIRA

Categoria do Trabalho: Trabalhos Aprovados para Disponibilização em Vídeo (ADV)

Área Temática: Estomatologia

Resumo: We received a 33-year-old male patient complaining of oral burning sensation and white lesions on lateral border of tongue for 7 months. He also reported weight loss, nausea, and was recently diagnosed with HIV (viral load of 1,260,000 copies/ml and LTCD4 of 86 cells/uL). Intraoral exam showed white, verrucous and irregular plaques located bilaterally on tongue. An incisional biopsy was performed and the anatomopathological examination showed superficial squamous epithelium with ballooning epithelial cells with bare nuclei, confirming the diagnosis Oral Hairy Leucoplakia(OHL). The in-situ hybridization for EBER (Epstein-Barr Virus) was positive. The patient started the antiretroviral treatment taking dolutegravir, tenofovir and lamudivine. One month later he had undetectable viral load and LTCD4 of 294 cells/uL. After 2 months of follow up OHL showed complete clinical regression. AIDS is under control in Brazil but clinicians must keep in mind the diagnosis of OHL in HIV+ patients.

Autor 1:  Letícia Almeida OLIVEIRA

E-mail 1:  [email protected]

Autor 2:   Paulo Victor Mendes Penafort

E-mail 2:  [email protected]

Autor 3 :  Pablo Agustin Vargas

E-mail 3:  [email protected]

Autor 4:  Ana Márcia Vieira Fuim

E-mail 4:  [email protected]

Autor 5:  Luiz Filipe Nakasone Peel Furtado de Oliveira

E-mail 5:  [email protected]

Autor 6:  Victor Perez Teixeira

E-mail 6:  [email protected]

Autor 7:  José Narciso Rosa Assunção Júnior

E-mail 7:  [email protected]