Oral and maxillo-facial manifestations of acquired immunodeficiency syndrome (AIDS)

Orofacial and cervical manifestations of aquired immunodeficiency syndrome (AIDS) admitted to “Departement de Sante Publique et Medecine Tropicale, HOpital de la Pitie-Salpetriere, Paris, France” were studied. Oral candidal infections occured in 80.0%. Cervical lymphadenopathy was palpated in 60%. F...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 32; no. 6; pp. 1074 - 1083
Main Authors VAILLANT, Jean-Marie, ROSENBAUM, Willy, IKEDA, Noriaki, KAWAI, Tsuyoshi, PRINC, Guy
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 1986
Subjects
acquired immunodeficiency syndrome
oro-facial manifestations
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.32.1074

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Abstract Orofacial and cervical manifestations of aquired immunodeficiency syndrome (AIDS) admitted to “Departement de Sante Publique et Medecine Tropicale, HOpital de la Pitie-Salpetriere, Paris, France” were studied. Oral candidal infections occured in 80.0%. Cervical lymphadenopathy was palpated in 60%. Facial and oral Kaposi's sarcoma were found in 31.1% and 15.6%, respectively. Oral herpes occured in 22.2% and leukoplakia was confirmed in 4.4%. At least one of these manifestations occured in more than 93%. These findings suggest that oral surgeons have an important relation to AIDS in terms of diagnosis and treatment. Seven biopsy-proved cases of cervical lymphadenopathy showed 3 cases of follicular hyperplasia, 2 cases of tuberculous lymphadenitis, one case of Hodgkin's disease and one case of Kaposi's Sarcoma indicating that these histological findings were not specific to AIDS.
AbstractList Orofacial and cervical manifestations of aquired immunodeficiency syndrome (AIDS) admitted to “Departement de Sante Publique et Medecine Tropicale, HOpital de la Pitie-Salpetriere, Paris, France” were studied. Oral candidal infections occured in 80.0%. Cervical lymphadenopathy was palpated in 60%. Facial and oral Kaposi's sarcoma were found in 31.1% and 15.6%, respectively. Oral herpes occured in 22.2% and leukoplakia was confirmed in 4.4%. At least one of these manifestations occured in more than 93%. These findings suggest that oral surgeons have an important relation to AIDS in terms of diagnosis and treatment. Seven biopsy-proved cases of cervical lymphadenopathy showed 3 cases of follicular hyperplasia, 2 cases of tuberculous lymphadenitis, one case of Hodgkin's disease and one case of Kaposi's Sarcoma indicating that these histological findings were not specific to AIDS.
Author PRINC, Guy
VAILLANT, Jean-Marie
IKEDA, Noriaki
ROSENBAUM, Willy
KAWAI, Tsuyoshi
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References 19) Sarngadharan, M.G., Provic, M., et al.: Antibodies reactive with a human T lymphotropic retrovirus (HTLV-III) in the sera of patients with acquired immune deficiency syndome. Science 224: 506-508 1983.
32) Ho, D.D., Schooley R.B., et al.: HTLV-III in the semen and blood of a healthy homosexual man. Science 26: 451-453 1984.
14) Brunet, J.B. Geographic du SIDA. Cone Med 9: 729-734 1984.
27) Marder, M.Z., Barr, C.E., et al.: Cytomegalovirus presence and salivery composition in acquired immunodeficiency syndrome. Oral Surg 60: 372-376 1985.
29) Green, T.L., Beckstead, J.H., et al.: Histopathologic spectrum of oral Kaposi's sarcoma. Oral Sug 58: 306-314 1984.
34) CDC: Update: Prospective Evaluation of health-care workers exposed via the parenteral oe mucous-membrane route to blood or body fluids from patients with acquired immunodeficiency syndrome-United States. MMWR 34: 101-103 1985.
22) Pape, J.W., Litautaud B., et al.: Characteristics of the aquired immunodeficiency syndrome (AIDS) in Haiti. N Engl Med 309: 945-950 1983.
13) CDC: Update: Acquired immunodeficiency syndrome-Europe. MMWR 34: 583-589 1985.
15) Ravisse, P., Reynaud R., et al.: Sur le premier cas de cryptococcose decouvert en AEF. Presse Med 18: 727-738 1959.
7) Sooy, C.D.: Otolarynhologic manifestations of acquired-immunodeficiency syndrome. W.J. Med. 141: 674 1984.
28) Nickles, G.B., Lines, C., et al.: Kaposi's sarcoma in a patient with acquired immune deficiency syndrome. J Oral Maxillofac Surg 42: 56-60 1984.
26) Grrenspan, D., Greenspan, J.S., et al.: Oral “hairy” leukoplakia in male homosexuals: Evidence of association with both papillomavirus and a herpes-group virus. Lancet 13: 831-834 1984.
11) Centers for Disease Control: Revision of the case definition of acqired immunodeficiency syndrome for national reporting United States. MMWR 34: 373-375 1985.
17) Ellrodt A. and Barre-Sinoussi F.: Isolation of human T-lymphotropic retrovirus (LAV) from Zairian married couple, one with AIDS, one with prodromes. Lancet 23: 1383-1385 1984.
9) Centers for Disease Control: Update on acquired immune deficiency syndrome (AIDS)-United States. MMWR 31: 507-514 1982.
2) Masur, H., Michelis, M.A., et al.: Outbreak of community-aquired Pneumocytis carinii pneumonia. N Engl J Med 305: 1431-1438.
30) Rosenbaum, W. and Dormont, D.: Antimoniotungstate (HPA 23) treatment of three patients with AIDS and one with prodrome. Lancet 23: 450-451 1985.
23) Brynes, R.H., Chan, W.C., et al.: Value of lymph node biopsy in unexplained lymphadenopathy in homosexual men. JAMA 250: 1313-1317 1983.
25) Guarda, L.A., Butler, J.J., et al.: Lymphadenopathy in homosexual men. Morbid anatomy with clinical and immunologic correlations. Am J Clin Pathol 79: 559-568 1983.
31) Groopman, J.E., Salahuddin, S.Z., et al. HTLV-III in saliva of peaple with AIDSRelated complex and healthy homosexualmen at risk for AIDS. Science 226: 447-449 1984.
33) Council on dental therapeutics, American Dental Association: Sterilization, infection control methods offer defence against AIDS. ADA New Aug: 9 1983.
18) 池上信子: AIDSとウイルス. 感染・炎症・免疫15: 293-310 1985.
8) Klein, R.S., Haris, C.A., et al.: Oral candidiasis inhigh-risk patients as the initial manifestation of acquired immunodeficiency syndrome. New Engl J 311: 354-358 1984.
5) Rosenberg, R.A., Schneider, K.L., et al.: Head and neck presentations of aquired immunodeficiency syndrome. Laryngoscope 94: 642-646 1984.
20) Jaffe, H.W., Bregman, D.J., et al.: Acquired immune deficiency syndrome in the United States: The first 1000 cases. J Infect Dis 3: 143-145 1983.
4) Gallo, R.C., Salahuddin, S.Z., et al.: Frequent detection and isolation of cytopathic retroviruses (HTLV 3) in the serum from patients with AIDS and at risk for AIDS. Science 224: 500-503 1984.
24) Davis, J.M., Mouradian, J., et al.: Acquired immune deficiency syndrome, Arch Surg 119: 90-94 1984.
21) Katlama, C., Matheron, S., et al. Manifestations neurologiques du SIDA.(Zittoun, R. Editor: Syndrome immuno deficitaire aquis. Doin Editeurs, Paris, 1985, p81-86.
1) Gottlieb, M.S., Schroff, R., et al.: Pneumocytis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men. N Engl J Med 305: 1425-1431 1981.
3) Barre-Sinoussi, F., Cherman, J.C., et al.: Isolation of a T-Iymphotropic retrovirus from a patient at risk for acquired immune deficiency syndrome (AIDS). Science 220: 868-871 1983.
12) Norman, C. AIDS trends: Projections from limited data. Science 230: 1018-1021 1985.
10) Safai B., Sarngadharan, M.G., et al.: Seroepidemiological studies of HTLV-III in AIDS. Lancet 1: 1438-1440 1984.
6) Lozada, F., Silverman S., et al.: Oral manifestations of tumor and opportunistic infections in the acquired immunodeficiency syndrome (AIDS): Findings in 53 homosexual men with Kaposi's sarcoma. Oral Surg 56: 491-494 1983.
16) Fauci, A.S.: Acquired immunodeficiency syndrome: Epidemiologic, clinical, immunologic and theraptic considerations.
References_xml – reference: 28) Nickles, G.B., Lines, C., et al.: Kaposi's sarcoma in a patient with acquired immune deficiency syndrome. J Oral Maxillofac Surg 42: 56-60 1984.
– reference: 17) Ellrodt A. and Barre-Sinoussi F.: Isolation of human T-lymphotropic retrovirus (LAV) from Zairian married couple, one with AIDS, one with prodromes. Lancet 23: 1383-1385 1984.
– reference: 20) Jaffe, H.W., Bregman, D.J., et al.: Acquired immune deficiency syndrome in the United States: The first 1000 cases. J Infect Dis 3: 143-145 1983.
– reference: 31) Groopman, J.E., Salahuddin, S.Z., et al. HTLV-III in saliva of peaple with AIDSRelated complex and healthy homosexualmen at risk for AIDS. Science 226: 447-449 1984.
– reference: 16) Fauci, A.S.: Acquired immunodeficiency syndrome: Epidemiologic, clinical, immunologic and theraptic considerations.
– reference: 1) Gottlieb, M.S., Schroff, R., et al.: Pneumocytis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men. N Engl J Med 305: 1425-1431 1981.
– reference: 33) Council on dental therapeutics, American Dental Association: Sterilization, infection control methods offer defence against AIDS. ADA New Aug: 9 1983.
– reference: 5) Rosenberg, R.A., Schneider, K.L., et al.: Head and neck presentations of aquired immunodeficiency syndrome. Laryngoscope 94: 642-646 1984.
– reference: 32) Ho, D.D., Schooley R.B., et al.: HTLV-III in the semen and blood of a healthy homosexual man. Science 26: 451-453 1984.
– reference: 6) Lozada, F., Silverman S., et al.: Oral manifestations of tumor and opportunistic infections in the acquired immunodeficiency syndrome (AIDS): Findings in 53 homosexual men with Kaposi's sarcoma. Oral Surg 56: 491-494 1983.
– reference: 30) Rosenbaum, W. and Dormont, D.: Antimoniotungstate (HPA 23) treatment of three patients with AIDS and one with prodrome. Lancet 23: 450-451 1985.
– reference: 18) 池上信子: AIDSとウイルス. 感染・炎症・免疫15: 293-310 1985.
– reference: 19) Sarngadharan, M.G., Provic, M., et al.: Antibodies reactive with a human T lymphotropic retrovirus (HTLV-III) in the sera of patients with acquired immune deficiency syndome. Science 224: 506-508 1983.
– reference: 3) Barre-Sinoussi, F., Cherman, J.C., et al.: Isolation of a T-Iymphotropic retrovirus from a patient at risk for acquired immune deficiency syndrome (AIDS). Science 220: 868-871 1983.
– reference: 25) Guarda, L.A., Butler, J.J., et al.: Lymphadenopathy in homosexual men. Morbid anatomy with clinical and immunologic correlations. Am J Clin Pathol 79: 559-568 1983.
– reference: 9) Centers for Disease Control: Update on acquired immune deficiency syndrome (AIDS)-United States. MMWR 31: 507-514 1982.
– reference: 14) Brunet, J.B. Geographic du SIDA. Cone Med 9: 729-734 1984.
– reference: 12) Norman, C. AIDS trends: Projections from limited data. Science 230: 1018-1021 1985.
– reference: 8) Klein, R.S., Haris, C.A., et al.: Oral candidiasis inhigh-risk patients as the initial manifestation of acquired immunodeficiency syndrome. New Engl J 311: 354-358 1984.
– reference: 13) CDC: Update: Acquired immunodeficiency syndrome-Europe. MMWR 34: 583-589 1985.
– reference: 23) Brynes, R.H., Chan, W.C., et al.: Value of lymph node biopsy in unexplained lymphadenopathy in homosexual men. JAMA 250: 1313-1317 1983.
– reference: 26) Grrenspan, D., Greenspan, J.S., et al.: Oral “hairy” leukoplakia in male homosexuals: Evidence of association with both papillomavirus and a herpes-group virus. Lancet 13: 831-834 1984.
– reference: 2) Masur, H., Michelis, M.A., et al.: Outbreak of community-aquired Pneumocytis carinii pneumonia. N Engl J Med 305: 1431-1438.
– reference: 22) Pape, J.W., Litautaud B., et al.: Characteristics of the aquired immunodeficiency syndrome (AIDS) in Haiti. N Engl Med 309: 945-950 1983.
– reference: 4) Gallo, R.C., Salahuddin, S.Z., et al.: Frequent detection and isolation of cytopathic retroviruses (HTLV 3) in the serum from patients with AIDS and at risk for AIDS. Science 224: 500-503 1984.
– reference: 29) Green, T.L., Beckstead, J.H., et al.: Histopathologic spectrum of oral Kaposi's sarcoma. Oral Sug 58: 306-314 1984.
– reference: 11) Centers for Disease Control: Revision of the case definition of acqired immunodeficiency syndrome for national reporting United States. MMWR 34: 373-375 1985.
– reference: 21) Katlama, C., Matheron, S., et al. Manifestations neurologiques du SIDA.(Zittoun, R. Editor: Syndrome immuno deficitaire aquis. Doin Editeurs, Paris, 1985, p81-86.)
– reference: 7) Sooy, C.D.: Otolarynhologic manifestations of acquired-immunodeficiency syndrome. W.J. Med. 141: 674 1984.
– reference: 10) Safai B., Sarngadharan, M.G., et al.: Seroepidemiological studies of HTLV-III in AIDS. Lancet 1: 1438-1440 1984.
– reference: 27) Marder, M.Z., Barr, C.E., et al.: Cytomegalovirus presence and salivery composition in acquired immunodeficiency syndrome. Oral Surg 60: 372-376 1985.
– reference: 24) Davis, J.M., Mouradian, J., et al.: Acquired immune deficiency syndrome, Arch Surg 119: 90-94 1984.
– reference: 34) CDC: Update: Prospective Evaluation of health-care workers exposed via the parenteral oe mucous-membrane route to blood or body fluids from patients with acquired immunodeficiency syndrome-United States. MMWR 34: 101-103 1985.
– reference: 15) Ravisse, P., Reynaud R., et al.: Sur le premier cas de cryptococcose decouvert en AEF. Presse Med 18: 727-738 1959.
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Snippet Orofacial and cervical manifestations of aquired immunodeficiency syndrome (AIDS) admitted to “Departement de Sante Publique et Medecine Tropicale, HOpital de...
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SubjectTerms acquired immunodeficiency syndrome
oro-facial manifestations
Title Oral and maxillo-facial manifestations of acquired immunodeficiency syndrome (AIDS)
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