Final Answer:
The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of b. HIV. Therefore, the correct option is b.
Step-by-step explanation:
Hairy leukoplakia is a white, corrugated lesion that can develop on the lateral borders of the tongue. It is strongly associated with the Epstein-Barr virus (EBV) and is considered an indicator of immune suppression, particularly in the context of HIV infection.
In individuals with a healthy immune system, the body can usually control and suppress the reactivation of the Epstein-Barr virus. However, when the immune system is compromised, such as in the case of HIV infection, EBV can proliferate, leading to the development of hairy leukoplakia.
HIV (Human Immunodeficiency Virus) attacks the immune system, specifically CD4 cells (T cells), which help the immune system fight off infections. As the immune system weakens, the risk of opportunistic infections and certain complications, such as hairy leukoplakia, increases.
Therefore, the presence of hairy leukoplakia in the absence of other symptoms of immune suppression is a strong indicator of an underlying HIV infection. It serves as a clinical marker prompting healthcare professionals to consider HIV testing and further evaluation of the individual's immune status.
Therefore, the correct option is b.