Silva A, Ferreira S, Pereira MR; International Conference on AIDS.
Int Conf AIDS. 1996 Jul 7-12; 11: 299 (abstract no. Th.B.4277).
Universidade Federal do Rio de Janeiro and Universidade Gama Filho, Rio de Janeiro, Brasil. Fax: (5521) 2634572.
Objective: Verify the oral ulcers etiologies and the frequency regarding to sex, age and distribution on oral mucosa. Verify how long the ulcers were present on the oral mucosa and CDC patients classification at the moment of examination. Methods: It had been accomplished a retrospective study from 70 HIV + patients charts with oral ulcers at Universidade Federal do Rio de Janeiro-Dental Center of AIDS Patients from 1989 to 1995. The disease classification was based on CDC criteria 1986. The lesions diagnostic was achieved from oral examination, anamnesis, viral, bacterial and fungal culture, hystophatologic study and cytology (three smears were done, Papanicolaou, May-Grunwald Giensa and Nika Gadelha). Results: Oral ulcers were present on 70 patients, 15 (21,4%) female and 55(78,6%) male, the most common distribution were 26(37,1%) on labial m., 23(32,9%) buccal m., 20(28,6%) alveolar m., 11(15,7%) hard palate and 8 (11,4%) soft palate. The diagnostics include 21(30,0%) inespecific ulcers, 14(20,0%) RAU, 10(14,3%) HSV, 7(10,0%) Candida ulcers, 6(8,5%) traumatic ulcers, 2(2,9%) CMV, BAAR, lymphoma and medicamentosus stomatitis each case and 1(1,4%) C. neoformans, T. pallidum, H. pylori and bacillary angiomatosis each case. The lesions were present in the mouth from 3 days to 6 months, most cases 42(60,0%) were till 2 weeks present. The main drugs observed were 42(60.0%) antibacterial, 32(45,7%) antiviral, 29(41,4%) antifungal. Most patients 28(40,0%) were classified in Group IV C1, 15(21,4%) in Group IV C2 and 15(21,4%) in Group III. Average age 36,6, sd = 4,3779. Conclusions: Oral ulcers were most common in Group IV C and in male patients. Inespecific ulcers were the predominant. Considering the variability in the diagnostic finds it is important a criterious examination and laboratory investigation for correct treatment. Clinics should be aware for the predominant sites on the oral mucosa and which drugs patients were taking that might lead oral ulcers onset. As long as the ulcers are present in the mouth more important is the earlier diagnostic.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Angiomatosis, Bacillary
- Antiviral Agents
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Male
- Mouth Mucosa
- Oral Ulcer
- Simplexvirus
- Ulcer
Other ID:
UI: 102220567
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