Hairy leukoplakia in 10 patients after bone marrow transplantation was
identified clinically and assessed histologically. In situ hybridizat
ion for Epstein-Barr virus and human papilloma virus confirmed Epstein
-Barr virus in hairy leukoplakia in two cases, and human papillomaviru
s in three cases. All cases with clinical follow-up resolved without t
reatment. These findings suggest that severe immunosuppression after a
bone marrow transplantation may result in the development of hairy le
ukoplakia, and that as the immunosuppression resolves after the transp
lant the lesions also resolve.