Leukoplakia - Medtick

Leukoplakia

What is it?

Leukoplakia is a white patch in the mouth.

  • Leukoplakia patches often appear on the tongue, inside the cheeks, gums and/or roof or floor of the mouth.
  • Most leukoplakia patches are noncancerous (benign), though some show early signs of  mouth cancer.
  • Mouth cancers on the bottom of the mouth can occur next to areas of leukoplakia and white areas mixed in with red areas (speckled leukoplakia) may indicate the potential for cancer.
  • A white patch in your mouth that does not go away (with in two weeks) or if one feels  one has unusual, persistent changes in your mouth should be checked by a dentist or Medical doctor.
  • It can also occur on the lips, vagina, vulva and anus.

Hairy leukoplakia

  • Hairy leukoplakia is a type of leukoplakia caused by the Epstein-Barr virus (EBV).
  • Once you’ve been infected with EBV, the virus remains in your body for life. Normally, the virus is dormant, however it can be reactivated due to a weakened immune system.
  • It often affects people with a weakened immune system, particularly those with:
  • It causes fuzzy white patches, often on the sides of the tongue, that look folded or ridged.
  • They are not painful and cannot be brushed or scraped away.
  • Antiviral medications or topical ointments containing retinoic acid treatments applied directly to the patch, it may be prescribed to treat hairy leukoplakia to reduce the size however it won’t fully go away.
  • Unlike other types of leukoplakia, hairy leukoplakia does not carry a risk of mouth cancer.

Leukoplakia can be confused with oral thrush.

Please note with oral thrush:

  • The white cream and/or patch can be wiped away
  • The patches it causes are usually softer than leukoplakia patches
  • They may bleed more easily

Cause

  • Long term irritation from tobacco — whether smoked, dipped or chewed
  • Smoking
  • Chew tobacco, paan or betel nuts
  • Poor dental hygiene
  • Irritation from:
    • Jagged, broken or sharp teeth rubbing on tongue surfaces
    • Broken or ill-fitting dentures
    • Cheek biting
    • Rough, uneven teeth
    • Inflammatory conditions
  • High alcohol consumption
  • Syphillis (Tertiary)

Symptoms

  • Patche(s) are white and/or grayish in colour?
  • Patche(s) are not painful?
  • Patche(s) are an irregular shape?
  • Patche(s) are slightly raised?
  • Patche(s) may be slightly red within the patch?
  • Patche(s) are thickened or hardened in areas?
  • Patche(s) cannot be rubbed or scraped away (patches that can be removed could be oral thrush)?

Complications /Information to beware of/General tips:

This condition can lead to:

  • Mouth cancer (if oral)
  • If in vulva, vaginal  area it may lead to vaginal cancer
  • Some women may develop leukoplakia on the outside of their genitals in the vulva area as well as inside the vagina. This is usually seen in menopausal women.
    • It’s a benign condition.
    • If there is concern about anything more serious, you should contact your doctor.
  • If in anus area it can lead to anal cancer.

H.I.V test

  • Hairy leukoplakia may indicate H.I.V/A.I.D’S.
  • A H.I.V test should be offered if one has this condition.

Speak to a Medical Doctor and/or dentist for further advice if:

  • White plaques or sores in your mouth that don’t heal on their own within two weeks
  • A white patch in your mouth that has not gone away after 2 weeks
  • Lumps or white, red or dark patches in your mouth
  • Red spots are present
  • Persistent changes in the tissues of your mouth
  • Ear pain when swallowing
  • Progressive reduction in the ability to open your jaw
  • A white patch on your tongue and a weakened immune system – for example, you have HIV or have had an organ transplant.
  • It can also occur on the lips, vagina, vulva and anus (Medical doctor).

Treatments and General tips for leukoplakia

  • Treatment for leukoplakia is not always needed, but you’ll have regular check-ups to make sure the patch is not getting bigger.

The patch may get smaller or go away if you:

  • Stop smoking including all types of tobacco, paan and/or beetlenut.
  • Reduce the amount of alcohol one consumes.
  • Keep your mouth and teeth healthy by taking care of your teeth and gums
  • Have regular dental check-ups
  • If one wear dentures, make sure they fit properly
  • Eat a balanced diet, including plenty of fresh fruit and vegetables. Eating antioxidant-rich foods such as spinach, pumpkin and carrots. Antioxidants may help deactivate irritants that cause patches.
  • Patches can be removed by using laser therapy, a scalpel, or a freezing procedure and is sometimes needed to remove the patch if there’s a risk it could become cancerous.
  • Even after leukoplakia patches are removed, the risk of oral cancer remains.

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Leukoplakia in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

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