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Prevalence of oral mucosal lesions in adults undergoing highly active antiretroviral therapy in Hong Kong

Identifieur interne : 000955 ( Istex/Corpus ); précédent : 000954; suivant : 000956

Prevalence of oral mucosal lesions in adults undergoing highly active antiretroviral therapy in Hong Kong

Auteurs : Mahendra Perera ; Peter Chiu Shun Tsang ; Lakshman Samaranayake ; Man Po Lee ; Patrick Li

Source :

RBID : ISTEX:13256BD6AB95B1D4522B6088E9A9350480871299

English descriptors

Abstract

Aim:  Highly active antiretroviral therapy (HAART) has altered the prevalence and incidence of oral mucosal lesions of HIV infection. Recent reports show a variation in the prevalence of oral mucosal lesions in different population groups. Understanding the prevalence of these lesions is of paramount importance in the efficient delivery of dental care to such cohorts. The aim of the present study was to investigate the prevalence of oral mucosal lesions and salivary parameters during HAART in an ethnic Chinese cohort in Hong Kong.

Url:
DOI: 10.1111/j.2041-1626.2012.00124.x

Links to Exploration step

ISTEX:13256BD6AB95B1D4522B6088E9A9350480871299

Le document en format XML

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<p>
<hi rend="bold">Aim: </hi>
Highly active antiretroviral therapy (HAART) has altered the prevalence and incidence of oral mucosal lesions of HIV infection. Recent reports show a variation in the prevalence of oral mucosal lesions in different population groups. Understanding the prevalence of these lesions is of paramount importance in the efficient delivery of dental care to such cohorts. The aim of the present study was to investigate the prevalence of oral mucosal lesions and salivary parameters during HAART in an ethnic Chinese cohort in Hong Kong.</p>
<p>
<hi rend="bold">Methods: </hi>
A cross‐sectional estimation of the prevalence of oral mucosal lesions was carried out in 101 HIV‐infected ethnic Chinese in Hong Kong using the European Community–Clearinghouse classification.</p>
<p>
<hi rend="bold">Results: </hi>
The prevalence of oral mucosal lesions was more common in patients who were classified at baseline as Centers for Disease Control (CDC) C3 category than CDC A2, A3, B2, and B3 (
<hi rend="italic">P</hi>
 < 0.05). An overall prevalence of 1.98% was observed for oral Kaposi’s sarcoma. Additionally, the HIV group on HAART (0.37 ± 0.23 mL/min) had significantly lower salivary flow rates (
<hi rend="italic">P</hi>
 < 0.01) compared with the healthy group (0.49 ± 0.15 mL/min).</p>
<p>
<hi rend="bold">Conclusions: </hi>
Although HAART appears to markedly reduce the prevalence of oral mucosal lesions during the course of HIV disease, regular systematic oral screening is still warranted for such populations for the early diagnosis and management of pathologies, such as Kaposi’s sarcoma.</p>
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<correspondenceTo>Dr Peter Chiu Shun Tsang, Prince Phillip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Hong Kong, China. 
Tel: +852‐2859‐0310 
Fax: +852‐2858‐6114 
Email:
<email>csptsang@hkucc.hku.hk</email>
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<title type="main">Prevalence of oral mucosal lesions in adults undergoing highly active antiretroviral therapy in Hong Kong</title>
<title type="shortAuthors">M. Perera
<i>et al.</i>
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<title type="short">Highly active antiretroviral therapy</title>
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<personName>
<givenNames>Man Po</givenNames>
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Highly active antiretroviral therapy (HAART) has altered the prevalence and incidence of oral mucosal lesions of HIV infection. Recent reports show a variation in the prevalence of oral mucosal lesions in different population groups. Understanding the prevalence of these lesions is of paramount importance in the efficient delivery of dental care to such cohorts. The aim of the present study was to investigate the prevalence of oral mucosal lesions and salivary parameters during HAART in an ethnic Chinese cohort in Hong Kong.</p>
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<b>Methods: </b>
A cross‐sectional estimation of the prevalence of oral mucosal lesions was carried out in 101 HIV‐infected ethnic Chinese in Hong Kong using the European Community–Clearinghouse classification.</p>
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<b>Results: </b>
The prevalence of oral mucosal lesions was more common in patients who were classified at baseline as Centers for Disease Control (CDC) C3 category than CDC A2, A3, B2, and B3 (
<i>P</i>
 < 0.05). An overall prevalence of 1.98% was observed for oral Kaposi’s sarcoma. Additionally, the HIV group on HAART (0.37 ± 0.23 mL/min) had significantly lower salivary flow rates (
<i>P</i>
 < 0.01) compared with the healthy group (0.49 ± 0.15 mL/min).</p>
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<b>Conclusions: </b>
Although HAART appears to markedly reduce the prevalence of oral mucosal lesions during the course of HIV disease, regular systematic oral screening is still warranted for such populations for the early diagnosis and management of pathologies, such as Kaposi’s sarcoma.</p>
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<abstract>Aim:  Highly active antiretroviral therapy (HAART) has altered the prevalence and incidence of oral mucosal lesions of HIV infection. Recent reports show a variation in the prevalence of oral mucosal lesions in different population groups. Understanding the prevalence of these lesions is of paramount importance in the efficient delivery of dental care to such cohorts. The aim of the present study was to investigate the prevalence of oral mucosal lesions and salivary parameters during HAART in an ethnic Chinese cohort in Hong Kong.</abstract>
<abstract>Methods:  A cross‐sectional estimation of the prevalence of oral mucosal lesions was carried out in 101 HIV‐infected ethnic Chinese in Hong Kong using the European Community–Clearinghouse classification.</abstract>
<abstract>Results:  The prevalence of oral mucosal lesions was more common in patients who were classified at baseline as Centers for Disease Control (CDC) C3 category than CDC A2, A3, B2, and B3 (P < 0.05). An overall prevalence of 1.98% was observed for oral Kaposi’s sarcoma. Additionally, the HIV group on HAART (0.37 ± 0.23 mL/min) had significantly lower salivary flow rates (P < 0.01) compared with the healthy group (0.49 ± 0.15 mL/min).</abstract>
<abstract>Conclusions:  Although HAART appears to markedly reduce the prevalence of oral mucosal lesions during the course of HIV disease, regular systematic oral screening is still warranted for such populations for the early diagnosis and management of pathologies, such as Kaposi’s sarcoma.</abstract>
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