Author(s): Adedigba MA, Ogunbodede EO, Jeboda SO, Naidoo S, Adedigba MA, Ogunbodede EO, Jeboda SO, Naidoo S
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Abstract OBJECTIVE: The purpose of this study was to determine the prevalence of the oral manifestations of HIV/AIDS and to correlate the prevalence of these lesions with the stages of the disease in the Ife-Ijesa zone, Nigeria. No comprehensive data were available for correlating it with the staging of HIV/AIDS in this region. SUBJECTS: The pattern of oral HIV lesions as classified by the EC-Clearinghouse was studied in 225 confirmed consecutive HIV-infected patients in this zone. METHODS: Clinical dental examinations were conducted under natural daylight on all consenting HIV patients, sitting in an upright chair, using dental mirrors and probes. RESULTS: The prevalence of oral HIV lesions was 84.0\%, with lesions ranging in number from one to six. The commonest HIV lesion was pseudo-membranous candidiasis (43.1\%) followed by erythematous candidiasis (28.9\%), angular cheilitis (28.9\%), linear gingival erythema (24.0\%) and ulcerations (8.9\%). Lesions less commonly found were oral hairy leukoplakia (1.3\%) and salivary gland swellings (1.3\%). Heterosexual intercourse was the most common mode of transmission (94.7\%) and HIV-1 (96.9\%) the most prevalent pathogen among the study population. The majority of the patients were in the WHO clinical stage III (59.1\%) and presented late. CONCLUSIONS: The prevalence of oral HIV lesions in the present study was high.
This article was published in Oral Dis
and referenced in Journal of AIDS & Clinical Research