CURRENT SITUATION OF ORAL MUCOSAL LESIONS IN HIV/AIDS PATIENTS AT THE NATIONAL HOSPITAL FOR TROPICAL DISEASES IN 2022-2023

Thị Ánh Mai , Ngọc Chiều Hà, Văn Giang Trần , Đức Hoàng Nguyễn, Kiều Anh Trần , Tuấn Anh Mai

Main Article Content

Abstract

Objective: Description of the Oral Mucosal Lesions in HIV/AIDS Patients at the National Hospital for Tropical Diseases in 2022-2023. Materials and methods: Cross-sectional descriptive study on 261 patients with a confirmed diagnosis of HIV/AIDS treated at the National Hospital for Tropical Diseases in 2022-2023. Results: The results showed variation in the number of oral mucosal lesions in HIV/AIDS patients, from no lesions to three lesions. Types of oral mucosal lesions such as Candidiasis, Herpes Simplex, Hairy Leukoplakia, hyperpigmentation, Herpes Zoster, recurrent aphthous ulcers and HIV gingivitis have been recorded. The most common lesion is Candidiasis with 43 patients (16.5%). The study also recorded diverse types of Candidiasis, with the pseudomembranous accounting for the largest proportion (58.1%), followed by the erythematous (27.9%), and the hyperplastic (9.3%) and angular cheilitis (4.7%). The tongue and palate are the two most common sites of Candidiasis with rates of 56% and 24%, while the lips and corner are less common with rates of 4%. Conclusion: HIV-infected patients can have between 0-3 lesions, with various types of lesions, including Candidiasis and hyperpigmentation account for a high proportion. The most common type of Candidiasis is the pseudomembranous. The most common sites for Candidiasis are the tongue and the palate.

Article Details

References

1. Bộ Y tế, Kế hoạch tổ chức tháng hành động quốc gia phòng, chống HIV/AIDS năm 2021 (2021).
2. Adedigba M, Ogunbodede E, Jeboda S, Naidoo S. Patterns of oral manifestation of HIV/AIDS among 225 Nigerian patients. Oral diseases. 2008;14(4):341-346.
3. Bộ Y tế, Hướng dẫn quốc gia xét nghiệm HIV (Quyết định số 2674/QĐ-BYT ngày 27 tháng 4 năm 2018 của Bộ trưởng Bộ Y tế) (2018).
4. Nguyễn Thị Hồng Vân, Nhận xét tình trạng bệnh quanh răng và biểu hiện tổn thương niêm mạc miệng ở bệnh nhân HIV/AIDS tại trung tâm y tế Từ Liêm, Hà Nội. Luận văn thạc sỹ Y học. 2010.
5. Bộ Y tế, Báo cáo kết quả công tác phòng, chống HIV/AIDS năm 2020 (2021).
6. Satyalakshmi K, Sathyanath D, Muralidharan S. A systematic review of four decades of prevalence of oral soft tissue infections and conditions among adult HIV patients in India. J Family Med Prim Care. Jul 2022;11(7):3407-3413. doi:10.4103/jfmpc.jfmpc_1191_21
7. Denny CE, Ramapuram J, Bastian T, Ongole R, Binnal A, Natarajan S. Oral lesions in HIV/AIDS patients on highly active antiretroviral therapy. World Journal of Dentistry. 2016. 7(2):95-99.
8. Vohra P, Jamatia K, Subhada B, Tiwari RVC, Althaf MN, Jain C. Correlation of CD4 counts with oral and systemic manifestations in HIV patients. J Family Med Prim Care. 2019 Oct 31;8(10):3247-3252. doi: 10.4103/jfmpc.jfmpc_767_19. PMID: 31742150; PMCID: PMC6857402.