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  • Oral Manifestation of AIDS

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    oureducation.in
    128 просмотров38 страниц
    Oral manifestations of HIV disease are common and include oral lesions and novel presentations of previously known opportunistic diseases.(1,2) Careful history taking and detailed examination of the patient's oral cavity are important parts of the physical examination,(3,4) and diagnosis requires appropriate investigative techniques. Early recognition, diagnosis, and treatment of HIV-associated oral lesions may reduce morbidity.

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    Oral manifestations of HIV disease are common and include oral lesions and novel presentations of previously known opportunistic diseases.(1,2) Careful history taking and detailed examination of the patient's oral cavity are important parts of the physical examination,(3,4) and diagnosis requires appropriate investigative techniques. Early recognition, diagnosis, and treatment of HIV-associated oral lesions may reduce morbidity.

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    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    128 просмотров38 страниц

    Oral Manifestation of AIDS

    Загружено:

    oureducation.in
    Oral manifestations of HIV disease are common and include oral lesions and novel presentations of previously known opportunistic diseases.(1,2) Careful history taking and detailed examination of the patient's oral cavity are important parts of the physical examination,(3,4) and diagnosis requires appropriate investigative techniques. Early recognition, diagnosis, and treatment of HIV-associated oral lesions may reduce morbidity.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 38

    Epidemiology

    13000 In

    new patients/day in world

    India: Crossed 6 million 15-29yrs (40% women) emergency

    32%

    National

    Definition of AIDS
    Occurrence of one or more group of life threatening opportunistic infections, malignancies, neuralgic diseases and other specific illness in patients with human immunodeficiency virus (HIV) infection and / or with CD4 counts less than 200 /mm3 .

    Etiologic Agent
    HIV

    belongs to the family of human retroviruses ( Retroviridae) Subfamily of Lentiviruses HIV-1 HIV-2 Major target is CD4 lymphocytes

    CDC Classification of HIV


    Early asymptomatic stage : CD4 cell count > 500/uL Intermediate stage : 200-500/ uL Advanced stage : <200/ uL

    Oral Manifestations of AIDS

    Classification
    A.

    Bacterial Infections GingivoPeriodontalDisease Linear gingival erythema (LGE) Necrotizing ulcerative periodontitis (NUP) Necrotizing stomatitis (NS)

    B. Fungal Infections Candidiasis Other Fungi

    C. Viral Infections Epstein-Barr Virus i. Oral Hairy Leukoplakia Herpes Simplex Virus i. Primary herpetic gingiva-stomatitis ii.Recurrent herpetic infection Variacella-Zoster Virus i.Herpes zoster Human Papiloma Virus i. Condyloma acuminatum ii. Multifocal epithelial hyperplasia Cytomegalovirus

    D. Neoplasms 1. Kaposi's sarcoma 2. Lymphoma 3. Other neoplasms

    E. Other Oral Lesions 1. Oral ulcers 2. Salivary gland enlargement

    BACTERIAL INFECTION

    Linear Gingival Erythema (LGE)

    Necrotizing Ulcerative Periodontitis (NUP)

    Necrotizing Stomatitis (NUS)

    Fungal Infections

    Oral Candidiasis
    Pseudomembranous

    candidiasis Atrophic candididiasis Hyperplastic candidiasis Angular cheilitis

    Pseudomembranous Candidiasis

    Atrophic Candidiasis

    Hyperplastic Candidiasis

    Angular chelitis

    VIRAL INFECTIONS

    Herpes Infection

    Herpes Zoster

    Condyloma Acuminatum

    Epithelial hyperplasia

    Hairy Leukoplakia

    Neoplasms

    Kaposi Sarcoma

    Lymphoma

    MISCELLANEOUS ORAL LESIONS

    Oral Ulcer

    Salivary gland disease

    Tests for HIV Infection


    Serological

    HIV

    test that detects antibodies to

    - ELISA - Western Blot


    NEVA-HIV

    Test CD4 count

    Occupational Exposure
    Needle

    stick injuries Cuts from other sharp Contact of eye, nose, mouth or skin with blood Most Exposures DoNot Result in infection

    What to do on exposure
    Do

    not Panic Do not put cut /pricked finger into your mouth Immediate Measures Wash with soap and water Post exposure prophylaxis (PEP) should begin as soon as possible

    Post Exposure Prophylaxis


    Basic regime Zidovudine (AZT) +Lamivudine

    SHUN THE DISEASE , NOT THE DISEASED

    Thank You For Watching

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