A Study Of Oral Manifestation Of HIV/AIDS
Background: In India, patients exposed to the Human Immunodeficiency Virus (HIV) infection are increasing and about 30-80% of patients present with oral manifestations of the disease and only a few studies have been performed to document this observation. Objective: To clinically evaluate and document the oral lesions in patients with HIV infections. Methods: In clinically suspected cases of HIV diagnosis was done by two consecutive screening tests using the Enzyme-linked immunosorbent assay (ELISA) technique. Where indicated incisional biopsy was performed to confirm the clinical diagnosis of the relevant lesions. All cases were examined according to the WHO criteria. Prior to the examination each patient had undergone counseling. Results: of the 50 cases, 31(62%) were males and 19(38%) were females with an age range of 20 to 59 years (mean=36.6 years). While all the cases had periodontal disease, over 72% had candidiasis, xerostomia in 32%, lymphadenopathy in 42% and angular cheilitis was seen in 36% of the cases. Other conditions seen included persistent oral ulceration (22%), oral hairy leukoplakia (2%), herpes zoster (8%), parotomegaly(10%) and facial palsy(8%). Conclusion: For reducing morbidity from HIV, early detection is necessary, therefore physicians must look for oral manifestation in suspected cases of HIV which aid in early diagnosis and treatment.
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