Oral manifestations of HIV infection in 600 South African patients

• Published in: Journal of oral pathology & medicine Vol. 27; no. 4; pp. 176 - 179
• Main Authors: Arendorf, Trevor M., Bredekamp, Bradle6y, Cloete, Carol Ann C., Sauer, Gert
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01-04-1998; Blackwell
• Subjects: Adolescent; Adult; AIDS; AIDS-Related Opportunistic Infections - epidemiology; AIDS/HIV; Biological and medical sciences; Candidiasis, Oral - epidemiology; Dentistry; Female; Gingival Diseases - epidemiology; Gingival Diseases - pathology; Health Education; HIV infection; HIV Infections - epidemiology; Humans; Immunodeficiencies; Immunodeficiencies. Immunoglobulinopathies; Immunopathology; Leukoplakia, Hairy - epidemiology; Male; Medical sciences; Middle Aged; Mouth Diseases - epidemiology; Mouth Diseases - pathology; Mouth Neoplasms - epidemiology; oral manifestations; Oral Ulcer - epidemiology; Oral Ulcer - pathology; Periodontal Diseases - epidemiology; Periodontal Diseases - pathology; Population; Prevalence; Public Health; Referral and Consultation; Reproducibility of Results; Sarcoma, Kaposi - epidemiology; South Africa; South Africa - epidemiology; World Health Organization; South Africa; Africa; Infection; Human; Immunopathology; Oral cavity; Viral disease; ENT disease; Complication; AIDS; Immune deficiency; Measurement; Cross Sectional Analysis; Prevalence; Africa; Viral Diseases; Biology; Hiv Infections; Research Methodology; English Speaking Africa; Diseases; Acquired Immunodeficiency Syndrome; Southern Africa; Signs And Symptoms; Research Report; South Africa; Developing Countries; Physiology; Africa South Of The Sahara; Oral Effects
• ISSN: 0904-2512; 1600-0714
• DOI: 10.1111/j.1600-0714.1998.tb01936.x

Arendorf TM, Bredekamp B, Cloete CAC, Sauer G: Oral manifestations of HIV infection in 600 South African patients. J Oral Pathol Med 1998; 27: 176‐9. C Munksgaard, 1998. Oral lesions associated with HIV infection, as classified by the EC‐Clearinghouse on Oral Problems related to HIV infection and the WHO Collaborating Centre on Oral manifestations of the immunodeficiency virus, were studied in 600 consecutive HIV‐infected patients in Cape Town, South Africa. One or more lesions were seen in 60.4% of cases. Combined candidal lesions were evident in 37.8%, hairy leukoplakia in 19.7% and combined gingival/periodontal lesions in 8.5% of patients seen. Lesions less commonly recorded include oral ulceration (2.9%) and Kaposi's sarcoma (1.5%). The clinical range of lesions seen is similar to those reported elsewhere, but socio‐cultural differences allowed no reliable comparison. More than a quarter of our patients had oral soft tissue discomfort necessitating treatment; in 3.3% these were the presenting symptom. This indicates a potential major public health concern requiring education in recognition and appropriate referral and management.