Oral and Maxillofacial Surgery Expert Forum
ORAL HAIRY LEUKOPLAKIA and ESOPHAGEAL CANDIDIASIS
About This Forum:

Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

ORAL HAIRY LEUKOPLAKIA and ESOPHAGEAL CANDIDIASIS

I am in the dental field and i had an possible exposure at work....about 8 days after a possible exposure...
I developed Thrush on my tongue; had a culture it was negative; but I know it has to be thrush because I had burning esophagus and lips and a white coating on the back of my tongue. And I developed angular chelitis from it. I let it go for a few months (untreated) due to anxiety. Finally I got Nystatin (2 week dose) but it did not work probably becasue I have had it so long. I have not done any other treatment ...It seems to be subsiding a bit becasue I have been taking probiotics. The white appearance is really mild, it does not bleed, I do brush it softly am/pm, But my burning esophagus still persists some days its worse than others.
Also, about 2-3 months later I developed hairy- like thickened papilla on the anterior and lateral portions of my tongue. My tongue looks/feels like a cats tongue it is very rough in texture, and when I dry it off it looks fissured and its very red and can become sore to touch. my taste buds are red and inflammed.I wake up in the morning with white rings on the anterior portion but they brush right off. My tongue just looks very red almost bluish at times. I think it is OHL. I have had all the tests: PCR-RNA and 4 HIV tests; the last one at 21 weeks (5 months and 1 week) test for HIV, HEP C, Syphillis (syphilis)= all NEG.  
My questions are: Is there any differential diagnosis you can think of for pregnancy or stress...
1) Can pregnancy or hormones cause anything like what I am describing?
2) Can stress cause anything like what I am describing?
3) Is there a way to have thrush and OHL but not have HIV? I don't have any other diseases...I am pregnant and have been under severe emotional stress.
4) Does OHL always present like a white patch on the lateral portion of the tongue that does not wipe off or change?
5) I am convinced of HIV. The experts/doctors have told me no way/no how and to stop testing.
Related Discussions
373693_tn?1324489102
Forum rules only allow to answer one question per posting.  However, I can tell that you are concerned so I will do my best.

1. Unlikely
2. Yes, cortisol level change with varying degrees of stress and my influence your condition.
3.  Yes
4.  No, there are no absolutes in medicine.
5.  It is unlikely to have HIV in the absence of negative repeated serologic exams.

I suggest the following:

See an Oral and Maxillofacial Surgeon and have the lesion(s) biopsied and cultured as well as cytological examination.  Only a biopsy can definitively diagnose an oral lesion.

See an infectious disease doctor to discuss your concerns (not a general medical doctor).  

There are long lists of potential medical condition that are associated with a variety of oral lesions.  The first step is to find out exactly what the lesion is and then move forward from there.

Another option would be to locate and see a dentist who specializes in Oral Medicine.  They are not very common and often affiliated with a dental school.  Check with your State Board of Dentistry for a list of names.

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
Blank
Continue discussion Blank
This Forum's Experts
373693_tn?1324489102
Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
Caldwell, NJ
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank