Oral manifestations in 101 Cambodians with HIV and AIDS

TY - JOUR

T1 - Oral manifestations in 101 Cambodians with HIV and AIDS

AU - Bendick, C

AU - Scheifele, C

AU - Reichart, P A

PY - 2002/1/1

Y1 - 2002/1/1

N2 - BACKGROUND: The HIV/AIDS epidemic in Cambodia has become a major problem in the last 7-8 years, mainly because in this formerly war-stricken country the socioeconomic situation is only slowly improving. Since only very few studies have been published to date on the oral health status of Cambodian HIV/AIDS patients, it was the purpose of the present investigation to study oral manifestations in Cambodian patients with HIV disease.METHODS: One hundred one Cambodian patients with HIV infection or AIDS were examined for the presence of oral manifestations in one medical center in Phomh Penh, Cambodia.RESULTS: Sixty-three men and 38 women with a median age of 32 years were examined (age range 7.5-63.5 years). Of these patients, 42.6% were smokers, 46.5% of men were heavy drinkers and 90.5% of men were promiscuous compared with 5.3% of women. The most frequent AIDS-defining diseases were wasting syndrome (54.5%), Pneumocystis carinii pneumonia (PcP) (19.8%) and tuberculosis (18.8%). Puritic papular eruption, a common cutaneous manifestation in HIV-infected patients, was seen in 17.8% of patients. Candida-associated infections of the oral cavity were most common. Among the patients, 52.5% revealed pseudomembranous candidiasis and 35.6% had bilateral hairy leukoplakia. Only 10% of patients had no oral lesions. Also common were necrotising ulcerative gingivo-periodontal diseases (27.7%).CONCLUSION: The general health status of 101 Cambodian patients with HIV infection and AIDS was poor, and they demonstrated a large number of oral manifestations. Antiretroviral therapy is presently not available and only a fraction of patients receives antimycotic treatment (25.7%). HIV infection and the AIDS epidemic in Cambodia have become a serious problem and patients urgently need adequate diagnosis and antiretroviral therapies.

AB - BACKGROUND: The HIV/AIDS epidemic in Cambodia has become a major problem in the last 7-8 years, mainly because in this formerly war-stricken country the socioeconomic situation is only slowly improving. Since only very few studies have been published to date on the oral health status of Cambodian HIV/AIDS patients, it was the purpose of the present investigation to study oral manifestations in Cambodian patients with HIV disease.METHODS: One hundred one Cambodian patients with HIV infection or AIDS were examined for the presence of oral manifestations in one medical center in Phomh Penh, Cambodia.RESULTS: Sixty-three men and 38 women with a median age of 32 years were examined (age range 7.5-63.5 years). Of these patients, 42.6% were smokers, 46.5% of men were heavy drinkers and 90.5% of men were promiscuous compared with 5.3% of women. The most frequent AIDS-defining diseases were wasting syndrome (54.5%), Pneumocystis carinii pneumonia (PcP) (19.8%) and tuberculosis (18.8%). Puritic papular eruption, a common cutaneous manifestation in HIV-infected patients, was seen in 17.8% of patients. Candida-associated infections of the oral cavity were most common. Among the patients, 52.5% revealed pseudomembranous candidiasis and 35.6% had bilateral hairy leukoplakia. Only 10% of patients had no oral lesions. Also common were necrotising ulcerative gingivo-periodontal diseases (27.7%).CONCLUSION: The general health status of 101 Cambodian patients with HIV infection and AIDS was poor, and they demonstrated a large number of oral manifestations. Antiretroviral therapy is presently not available and only a fraction of patients receives antimycotic treatment (25.7%). HIV infection and the AIDS epidemic in Cambodia have become a serious problem and patients urgently need adequate diagnosis and antiretroviral therapies.

KW - AIDS-Related Opportunistic Infections/epidemiology

KW - Acquired Immunodeficiency Syndrome/epidemiology

KW - Adolescent

KW - Adult

KW - Alcohol Drinking/epidemiology

KW - Cambodia/epidemiology

KW - Candidiasis, Oral/epidemiology

KW - Child

KW - Female

KW - Gingivitis, Necrotizing Ulcerative/epidemiology

KW - HIV Infections/epidemiology

KW - HIV Wasting Syndrome/epidemiology

KW - Humans

KW - Leukoplakia, Hairy/epidemiology

KW - Male

KW - Middle Aged

KW - Mouth Diseases/epidemiology

KW - Pneumonia, Pneumocystis/epidemiology

KW - Pruritus/epidemiology

KW - Sex Factors

KW - Sexual Behavior

KW - Skin Diseases, Papulosquamous/epidemiology

KW - Smoking/epidemiology

KW - Tuberculosis, Pulmonary/epidemiology

U2 - 10.1034/j.1600-0714.2002.310101.x

DO - 10.1034/j.1600-0714.2002.310101.x

M3 - SCORING: Journal article

C2 - 11896815

VL - 31

SP - 1

EP - 4

JO - J ORAL PATHOL MED

JF - J ORAL PATHOL MED

SN - 0904-2512

IS - 1

ER -