Hairy white spots may be associated with viral infections and usually cause white or grayish-white patches, which may be accompanied by a burning sensation and taste disturbances in some patients. 1. White or off-white patches: Hairy leukoplakia usually leads to white or off-white patches on both edges of the tongue, which can be found by chance when looking in the mirror or during oral examination. 2. Burning sensation: some patients may feel a burning sensation, usually the pain is not obvious. 3. Taste disorder: with the aggravation of the lesions, patients may also have smell disorder, which is manifested as having no taste when eating and not feeling the aroma of food. Hairy white spots are one of the common oral mucosal lesions in AIDS patients. If you are worried about hairy white spots, it is recommended that you seek medical attention in time for a clear diagnosis, and you should not diagnose on your own according to the symptoms, so as not to delay the condition.