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Leukoplakia is a diagnosis of exclusion, meaning that which lesions are included depends upon what diagnoses are currently considered acceptable. [29] Accepted definitions of leukoplakia have changed over time and are still controversial. [30] It is possible that the definition will be further revised as new knowledge becomes available. [29]
Within the latter type, the hairs occur in structures called pilosebaceous units, each with hair follicle, sebaceous gland, and associated arrector pili muscle. [4] In the embryo , the epidermis, hair, and glands form from the ectoderm , which is chemically influenced by the underlying mesoderm that forms the dermis and subcutaneous tissues.
Hairy leukoplakia is a white patch on the side of the tongue with a corrugated or hairy appearance. It is caused by Epstein-Barr virus (EBV) and occurs usually in persons who are immunocompromised , especially those with human immunodeficiency virus infection/ acquired immunodeficiency syndrome (HIV/AIDS).
Epithelial dysplasia, a term becoming increasingly referred to as intraepithelial neoplasia, is the sum of various disturbances of epithelial proliferation and differentiation as seen microscopically. Individual cellular features of dysplasia are called epithelial atypia. [2]
Hence the term black hairy tongue, although hairy tongue may also be discolored yellow or brown. Transient, surface discoloration that is not associated with hairy tongue can be brushed off. [8] Drug-induced black hairy tongue specifically refers to BHT that develops because of medication. [11]
HCA Revenue (Annual) data by YCharts. So, HCA Healthcare has a resilient business in a resilient industry. That bodes well for the company's future, even if it faces challenging times this year ...
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
Long term follow-up is usually carried out. [1] Some recommend biopsy if the lesions persists more than 6 weeks after giving up smokeless tobacco use, [7] or if the lesion undergoes a change in appearance (e.g. ulceration, thickening, color changes, especially to speckled white and red or entirely red). [8]