Leukoplakia can have various appearances. Changes usually occur on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue.
Leukoplakia may appear:
- White or grayish in patches that can't be wiped away
- Irregular or flat-textured
- Thickened or hardened in areas
- Along with raised, red lesions (erythroplakia), which are more likely to show precancerous changes
A type of leukoplakia called hairy leukoplakia primarily affects people whose immune systems have been weakened by medications or disease, especially HIV/AIDS. Hairy leukoplakia causes fuzzy, white patches that resemble folds or ridges on the sides of your tongue. It's often mistaken for oral thrush — an infection marked by creamy white patches, which can be wiped away, on the area that extends from the back of your throat to the top of your esophagus (pharynx) and the insides of the cheeks. Oral thrush also is common in people with HIV/AIDS.
When to see a doctor
Sometimes mouth sores can be annoying or painful without being harmful. But in other cases, mouth problems can indicate a more serious condition.
See your dentist if you have any of the following:
July 26, 2013
- White plaques or sores in your mouth that don't heal on their own within two weeks
- Lumps or white, red or dark patches in your mouth
- Persistent changes in the tissues of your mouth
- Goldstein BG, et al. Oral lesions. http://www.uptodate.com/home. Accessed May 1, 2013.
- Detecting oral cancer: A guide for health care professionals. National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/OralHealth/Topics/OralCancer/DetectingOralCancer.htm. Accessed May 1, 2013.
- Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniqId=230100505-57. Accessed May 2, 2013.
- Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 5th ed. Edinburgh, U.K.; New York, N.Y.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-7234-3541-9..X0001-6--TOP&isbn=978-0-7234-3541-9&uniqId=230100505-57. Accessed May 2, 2013.
- Reamy BV, et al. Common tongue conditions in primary care. American Family Physician. 2010;81:627.
- Goldsmith LA, et al., eds. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=740. Accessed May 6, 2013.
- Papadakis MA, et al. Quick Medical Diagnosis & Treatment. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=513. Accessed May 6, 2013.
- Sullivan JL. Clinical manifestations and treatment of Epstein-Barr virus infection. http://www.uptodate.com/home. Accessed May 7, 2013.
- Usatine RP, et al. The Color Atlas of Family Medicine. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=678. Accessed May 7, 2013.
- Sheridan PJ (expert opinion). Mayo Clinic, Rochester, Minn. May 23, 2013.
- Salinas TJ (expert opinion). Mayo Clinic, Rochester, Minn. May 26, 2013.
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