Oral Manifestations


Oral Manifestations of HIV Infection


Oral Manifestations of HIV Infection
Written by Drs. Deborah Greenspan and John S. Greenspan

Oral lesions are common in individuals with HIV infection and thus a detailed oral examination is an important part of the regular physical examination. Early recognition and treatment of these oral lesions may reduce morbidity. The oral lesions most frequently seen in and clearly associated with HIV infection are listed below. However, at least 40 oral manifestations of HIV infection have been recorded. Oral lesions cause significant discomfort and other problems, yet most are readily treated. They may be the first clinical features of HIV infection and lead to its diagnosis. Their presence is an indication of immunodeficiency and predicts the progression of HIV disease.

Common Oral Lesions associated with HIV:

Type of Lesions:
(Click each for more info)
Specifically Includes:
NEOPLASTIC Kaposi's sarcoma (KS)
BACTERIAL Linear gingival erythema
Necrotizing ulcerative periodontitis
Tuberculosis (Mycobacterium tb)
Mycobacterium avium complex
Bacillary angiomatosis
VIRAL Herpes simplex
Herpes zoster
Cytomegalovirus ulcers
Hairy leukoplakia
FUNGAL Candidiasis
- Pseudomembranous
- Erythematous
- Angular chelitis
(OTHERS) Recurrment aphthous ulcers
Immune thrombocytopenic purpura
HIV-salivary gland disease
Abnormalities of pigmentation

This information has been provided by AIDS Clinical Care magazine; Published by Massachusetts Medical Society. All rights reserved.
This article originally appeared in Vol. 9 No. 4 of AIDS Clinical Care, April, 1997
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