Oral manifestations of HIV infection in homosexual men and intravenous drug users
Identifieur interne : 004F05 ( Istex/Checkpoint ); précédent : 004F04; suivant : 004F06Oral manifestations of HIV infection in homosexual men and intravenous drug users
Auteurs : Ira B. Lamster [États-Unis] ; Melissa D. Begg [États-Unis] ; Dennis Mitchell-Lewis [États-Unis] ; James B. Fine [États-Unis] ; John T. Grbic [États-Unis] ; George G. Todak [États-Unis] ; Wafaa El-Sadr [États-Unis] ; Jack M. Gorman [États-Unis] ; Joseph J. Zambon [États-Unis] ; Joan A. Phelan [États-Unis]Source :
- Oral Surgery, Oral Medicine, Oral Pathology [ 0030-4220 ] ; 1994.
Descripteurs français
- Wicri :
- topic : Antibiotique, Santé mentale.
English descriptors
- KwdEn :
- Antibiotic, Antifungal drugs, Antineoplastic drugs, Antiviral, Antiviral drug, Antiviral drugs, Baseline data, Blood cell count, Candida infection, Candidiasis, Categoric variables, Cell count, Cigarette smoking, Cohort, Columbia university, Common lesions, Continuous variables, Covariate level, Current employment, Current smoking, Date initials, Defic syndr, Demographic characteristics, Dental visit, Different cohorts, Drug users, Employment status, Erythema, Exposure variables, Hairy leukoplakia, Homosexual, Human immunodeficiency virus, Immunodeficiency syndrome, Immunologic, Immunologic changes, Immunologic parameters, Infection, Intravenous, Intravenous drug users, Ivdu, Lamster, Lesion, Lesion occurrence, Lesion presence, List location, Longitudinal study, Lymphocyte, Marginal erythema, Medical stage, Mental health, More lesions, National institute, Natural history, Negative association, Odds ratio, Odds ratio correspondsto, Oral biology, Oral candidiasis, Oral cavity, Oral disease, Oral lesions, Oral manifestations, Oral pathol, Oral surg, Oral surgery, Oral surgoral, Oral ulcers, Other cohorts, Pathology volume, Periodontal, Periodontal disease, Plaque, Plaque accumulation, Point increase, Positive association, Positive associations, Prescription drug, Regression models, Seronegative, Seronegative groups, Seronegative ivdu, Seronegative persons, Seropositive, Seropositive groups, Seropositive ivdu, Seropositive persons, Seropositive subjects, Serostatus, Significant cohort difference, Significant correlates, Smoking experience, Socioeconomic status, Standard deviation, Suny buffalo, Table viii, Tooth surfaces, White lesions, York state.
- Teeft :
- Antibiotic, Antifungal drugs, Antineoplastic drugs, Antiviral, Antiviral drug, Antiviral drugs, Baseline data, Blood cell count, Candida infection, Candidiasis, Categoric variables, Cell count, Cigarette smoking, Cohort, Columbia university, Common lesions, Continuous variables, Covariate level, Current employment, Current smoking, Date initials, Defic syndr, Demographic characteristics, Dental visit, Different cohorts, Drug users, Employment status, Erythema, Exposure variables, Hairy leukoplakia, Homosexual, Human immunodeficiency virus, Immunodeficiency syndrome, Immunologic, Immunologic changes, Immunologic parameters, Infection, Intravenous, Intravenous drug users, Ivdu, Lamster, Lesion, Lesion occurrence, Lesion presence, List location, Longitudinal study, Lymphocyte, Marginal erythema, Medical stage, Mental health, More lesions, National institute, Natural history, Negative association, Odds ratio, Odds ratio correspondsto, Oral biology, Oral candidiasis, Oral cavity, Oral disease, Oral lesions, Oral manifestations, Oral pathol, Oral surg, Oral surgery, Oral surgoral, Oral ulcers, Other cohorts, Pathology volume, Periodontal, Periodontal disease, Plaque, Plaque accumulation, Point increase, Positive association, Positive associations, Prescription drug, Regression models, Seronegative, Seronegative groups, Seronegative ivdu, Seronegative persons, Seropositive, Seropositive groups, Seropositive ivdu, Seropositive persons, Seropositive subjects, Serostatus, Significant cohort difference, Significant correlates, Smoking experience, Socioeconomic status, Standard deviation, Suny buffalo, Table viii, Tooth surfaces, White lesions, York state.
Abstract
Abstract: This article describes the baseline findings from a study designed to compare the oral manifestations of HIV infection in homosexual men and intravenous drug users. Both seropositive and seronegative persons were studied. A standard examination instrument was developed to record indexes of oral disease as well as to record the presence of oral lesions. The two groups differed in terms of education, race, socioeconomic status, employment status, housing, and smoking experience. The prevalence and type of oral lesions differed in the two seropositive groups. In seropositive homosexual men, white lesions on the tongue (28.4%) predominated; whereas for the seropositive intravenous drug users, oral candidiasis (43.0%) and gingival marginal erythema (33.3%) were most often detected. We also observed that seronegative intravenous drug users displayed a greater number of oral lesions than seronegative homosexual men. For seropositive homosexual men, lesion presence was significantly associated with decreased levels of CD4; positive associations were seen with current smoking, antiviral drug use, and antibiotic use, and a negative association was observed with current employment. In contrast, only exposure to antiviral drugs was significantly correlated with lesion presence for seropositive intravenous drug users. This baseline analysis from our longitudinal study suggests clear differences in oral manifestations of HIV infection between seropositive homosexual men and intravenous drug users and between seronegative homosexual men and intravenous drug users. Among other parameters, it is apparent that lifestyle, access to health care, and the condition of the oral cavity before infection influence the development of oral lesions in persons with HIV infection.
Url:
DOI: 10.1016/0030-4220(94)90140-6
Affiliations:
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<term>Antifungal drugs</term>
<term>Antineoplastic drugs</term>
<term>Antiviral</term>
<term>Antiviral drug</term>
<term>Antiviral drugs</term>
<term>Baseline data</term>
<term>Blood cell count</term>
<term>Candida infection</term>
<term>Candidiasis</term>
<term>Categoric variables</term>
<term>Cell count</term>
<term>Cigarette smoking</term>
<term>Cohort</term>
<term>Columbia university</term>
<term>Common lesions</term>
<term>Continuous variables</term>
<term>Covariate level</term>
<term>Current employment</term>
<term>Current smoking</term>
<term>Date initials</term>
<term>Defic syndr</term>
<term>Demographic characteristics</term>
<term>Dental visit</term>
<term>Different cohorts</term>
<term>Drug users</term>
<term>Employment status</term>
<term>Erythema</term>
<term>Exposure variables</term>
<term>Hairy leukoplakia</term>
<term>Homosexual</term>
<term>Human immunodeficiency virus</term>
<term>Immunodeficiency syndrome</term>
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<term>Immunologic changes</term>
<term>Immunologic parameters</term>
<term>Infection</term>
<term>Intravenous</term>
<term>Intravenous drug users</term>
<term>Ivdu</term>
<term>Lamster</term>
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<term>Lesion occurrence</term>
<term>Lesion presence</term>
<term>List location</term>
<term>Longitudinal study</term>
<term>Lymphocyte</term>
<term>Marginal erythema</term>
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<term>National institute</term>
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<term>Positive association</term>
<term>Positive associations</term>
<term>Prescription drug</term>
<term>Regression models</term>
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<term>Seronegative persons</term>
<term>Seropositive</term>
<term>Seropositive groups</term>
<term>Seropositive ivdu</term>
<term>Seropositive persons</term>
<term>Seropositive subjects</term>
<term>Serostatus</term>
<term>Significant cohort difference</term>
<term>Significant correlates</term>
<term>Smoking experience</term>
<term>Socioeconomic status</term>
<term>Standard deviation</term>
<term>Suny buffalo</term>
<term>Table viii</term>
<term>Tooth surfaces</term>
<term>White lesions</term>
<term>York state</term>
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<term>Antifungal drugs</term>
<term>Antineoplastic drugs</term>
<term>Antiviral</term>
<term>Antiviral drug</term>
<term>Antiviral drugs</term>
<term>Baseline data</term>
<term>Blood cell count</term>
<term>Candida infection</term>
<term>Candidiasis</term>
<term>Categoric variables</term>
<term>Cell count</term>
<term>Cigarette smoking</term>
<term>Cohort</term>
<term>Columbia university</term>
<term>Common lesions</term>
<term>Continuous variables</term>
<term>Covariate level</term>
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<term>Current smoking</term>
<term>Date initials</term>
<term>Defic syndr</term>
<term>Demographic characteristics</term>
<term>Dental visit</term>
<term>Different cohorts</term>
<term>Drug users</term>
<term>Employment status</term>
<term>Erythema</term>
<term>Exposure variables</term>
<term>Hairy leukoplakia</term>
<term>Homosexual</term>
<term>Human immunodeficiency virus</term>
<term>Immunodeficiency syndrome</term>
<term>Immunologic</term>
<term>Immunologic changes</term>
<term>Immunologic parameters</term>
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<term>Intravenous drug users</term>
<term>Ivdu</term>
<term>Lamster</term>
<term>Lesion</term>
<term>Lesion occurrence</term>
<term>Lesion presence</term>
<term>List location</term>
<term>Longitudinal study</term>
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<term>Marginal erythema</term>
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<term>More lesions</term>
<term>National institute</term>
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<term>Point increase</term>
<term>Positive association</term>
<term>Positive associations</term>
<term>Prescription drug</term>
<term>Regression models</term>
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<term>Seropositive persons</term>
<term>Seropositive subjects</term>
<term>Serostatus</term>
<term>Significant cohort difference</term>
<term>Significant correlates</term>
<term>Smoking experience</term>
<term>Socioeconomic status</term>
<term>Standard deviation</term>
<term>Suny buffalo</term>
<term>Table viii</term>
<term>Tooth surfaces</term>
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<term>York state</term>
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<front><div type="abstract" xml:lang="en">Abstract: This article describes the baseline findings from a study designed to compare the oral manifestations of HIV infection in homosexual men and intravenous drug users. Both seropositive and seronegative persons were studied. A standard examination instrument was developed to record indexes of oral disease as well as to record the presence of oral lesions. The two groups differed in terms of education, race, socioeconomic status, employment status, housing, and smoking experience. The prevalence and type of oral lesions differed in the two seropositive groups. In seropositive homosexual men, white lesions on the tongue (28.4%) predominated; whereas for the seropositive intravenous drug users, oral candidiasis (43.0%) and gingival marginal erythema (33.3%) were most often detected. We also observed that seronegative intravenous drug users displayed a greater number of oral lesions than seronegative homosexual men. For seropositive homosexual men, lesion presence was significantly associated with decreased levels of CD4; positive associations were seen with current smoking, antiviral drug use, and antibiotic use, and a negative association was observed with current employment. In contrast, only exposure to antiviral drugs was significantly correlated with lesion presence for seropositive intravenous drug users. This baseline analysis from our longitudinal study suggests clear differences in oral manifestations of HIV infection between seropositive homosexual men and intravenous drug users and between seronegative homosexual men and intravenous drug users. Among other parameters, it is apparent that lifestyle, access to health care, and the condition of the oral cavity before infection influence the development of oral lesions in persons with HIV infection.</div>
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<name sortKey="Grbic, John T" sort="Grbic, John T" uniqKey="Grbic J" first="John T." last="Grbic">John T. Grbic</name>
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