Prevalencia de las lesiones orales asociadas a la infección por VIH en una población homosexual

Laburpena

Objetives: A study is 111ade to determine the prevalence of oral lesions associated with human immunodeficiency virus (HJV) infection among homosexuals, and their distribution in terms of CD4+ lvmphocyte count. Material and methods: A total of 107 Spanish HJV-infected mal e homosexuals were eva /uated for oral lesions, and microbio/ogical studies 111ere conducted to determine the presence of Candida (species and serotype). Results: In decreasing arder ojji"equency, th e oral /esions observecl ivere candidiasis (56.07%), periodonta/ a/terations (54.20%), hairy leukop/akia (39.25%), oral d1 y ness (28.97%), saburra/ tangue (20.56%), herpetic 11/cers (11. 2 1%), tangue depapillations (8.41 %), Kaposi's sa rcoma (6.54 %), 111e/anotic 111acu/es (4.67%), aphthous /esions (2.80%), fi chen p/anus ( 1. 86%), vascular lesions and non -Hodgkin ly111phoma (0.93%). The preva/ence of these disorders was found to increase with decreasing CD4+ lymphocyte counts. Of the I 07 samp/es obtained, only 52 (48.53%) were positivefor Candida. in this sense, C. a/bicans was the mostji·equently iso/ated species (86.5%) . Conclusions: The prevalence of oral lesions a111ong the patients studied differs from that reported elsewhere far similar popu/ations. The incidence of both candidiasis in its different forms (pseudomembranous, e1y thematous, hyperplastic and angular cheilitis) and periodontal disease is higher in patients sufferingfrom oral dryness.