Causes
1. Epstein-Barr Virus (Mononucleosis)
2. Immunodeficiency (including HIV)
Signs
1. Vertical white striations on Tongue appear similar to hairs
2. Distributed over lateral dorsum of Tongue (unilateral or bilateral)
Labs: Indicated if no obvious Immunodeficiency
1. Monospot
2. HIV Test
Management
1. May respond to antiviral agents (may also recur after course completed)
  1. Acyclovir 800 mg 5 times daily for 1-3 weeks
  2. Ganciclovir 100 mg 3 times daily for 1-3 weeks
References
1. Reamy (2010) Am Fam Physician 81(5): 627-34

Family Practice Notebook

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