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oral probs
Mar 10, 2001

Dear Doc,

what is this?? (I search over inetrenet sites regarding hereunder probs but to no avail, hope you had any ideas)

I had unremovable white sponge-like nerves (or white cracking lines or nerves) both in my cheeks, that would stick some of its white paste-like bet. my gums and teeth DURING waking up in the morning and/or having toothbrush w/ colgate total which are removable. This is associated also w/ a white coating on my tongue (particularly on the middle); dark red tonsil; thinning on my gum. (theres no any soreness or irritating feelings so far for 44 days after it started)

WHAT are these tiny small red dots on the tip (front) on my tongue?? indicates what??

Hope for your kind attention and reply. Thank you very much.

Regards, John

Response from Dr. Henry

You don't mention what your HIV status is (that would influence my answer). White patches could be due to infections like yeast (candida) or viruses (Epstein-Barr-Virus) in the setting of HIV infection. Often they are simply accumulations of dead cells (sometimes worse with bad hygiene, smoking, vitamin deficiencies). The read areas could simply be irritated areas of the tongue. You should see an experienced HIV doc if you are HIV infected or a good primary care doc if you are not to sort out. KH



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