Title: Oral lesions in infection with human immunodeficiency virus.

POPLINE Document Number: 290419

Author(s):

Coogan MM
Greenspan J
Challacombe SJ

Source citation:

Bulletin of the World Health Organization, 2005;83:700-706.

Abstract:

This paper discusses the importance or oral lesions as indicators of infection with human immunodeficiency virus (HIV) an as predictors of progression of HIV disease to acquired immunodeficiency syndrome (AIDS). Oral manifestations are among the earliest and most important indicators of infection with HIV. Seven cardinal lesions, oral caniiasis, hairy leukoplakia, Kaposi sarcoma, linear gingival erythema, necrotizing ulcerative gingivitis, necrotizing ulcerative periodontitis and non-Hodgkin lymphoma, which are strongly associated with HIV infection, have been identified an internationally calibrate, an are seen in both developed an developing countries. They may provide a strong indication of HIV infection and be present in the majority of HIV-infected people. Antiretroviral therapy may affect the prevalence of HIV-related lesions. The presence of oral lesions can have a significant impact on health-related quality of life. Oral health is strongly associated with physical an mental health an there are significant increases in oral health needs in people with HIV infection, especially in children, and in adults, particularly in relation to periodontal diseases. International collaboration is needed to ensure that oral aspects of HIV disease are taken into account in medical programmes and to integrate oral health care with the general care of the patient. It is important that all health care workers receive education and training on the relevance of oral health need and the use of oral lesions as surrogate markers in HIV infection. (author's)

Keywords:

Global
Critique
HIV Positive Persons
AIDS
HIV Infections
Oral Effects
Examinations and Diagnoses
Antiretroviral Therapy
Side Effects
Candidiasis
Cancer
Gingivitis
Dental Health
Persons Living With HIV/AIDS
Viral Diseases
Diseases
Physiology
Biology
HIV
Treatment
Bacterial and Fungal Diseases
Infections
Neoplasms
Health