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There is a diffuse, gray-white, milky opalescent appearance of the mucosa which usually occurs bilaterally on the buccal mucosa. Less often, the labial mucosa, the palate or the floor of mouth may be affected. The surface of the area is folded, creating a wrinkled, white streaked lesion. [2]
The white material is made up of debris, fibrin, and desquamated epithelium that has been invaded by yeast cells and hyphae that invade to the depth of the stratum spinosum. [4] As an erythematous surface is revealed beneath the pseudomembranes, some consider pseudomembranous candidiasis and erythematous candidiasis stages of the same entity. [ 4 ]
The head is rounded and flattened, with a pair of cerebral organs and cephalic grooves, but no eyes. The head is not readily distinguishable from the body, which is flattened and gradually tapers towards the tail, where there is a slender caudal cirrus. This worm is usually milky-white in colour but may be pink. [2]
Tongue coating - food debris, desquamated epithelial cells and bacteria often form a visible tongue coating. [7] This coating has been identified as a major contributing factor in bad breath ( halitosis ), [ 7 ] which can be managed by brushing the tongue gently with a toothbrush or using special oral hygiene instruments such as tongue scrapers ...
Lactucarium is the milky fluid secreted by several species of lettuce, especially Lactuca virosa, usually from the base of the stems. It is known as lettuce opium because of its sedative and analgesic properties. It has also been reported to promote a mild sensation of euphoria.
There may be a coexistent linea alba, which corresponds to the occlusal plane, [3] or crenated tongue. The lesions are white with thickening and shredding of mucosa commonly combined with intervening zones of erythema (redness) or ulceration. [2] The surface is irregular, and people may occasionally have loose sections of mucosa that come away.
Transient lingual papillitis is generally diagnosed based on patient presentation, meaning where it is located in the mouth and how big the bump is. [8] The visual presentation can also accompany various signs and symptoms such as difficulty eating, having a "strawberry tongue", increased saliva production, and a burning or tingling sensation. [9]
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).