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Oral manifestations of HIV infection in homosexual men and intravenous drug users

Identifieur interne : 00B085 ( Main/Merge ); précédent : 00B084; suivant : 00B086

Oral 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.

RBID : ISTEX:B8A1A4953E26F137B56216CC23CB30F5CAC14A69

Descripteurs français

Wicri :
- topic : Antibiotique, Santé mentale.

English descriptors

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:

https://api.istex.fr/document/B8A1A4953E26F137B56216CC23CB30F5CAC14A69/fulltext/pdf

DOI: 10.1016/0030-4220(94)90140-6

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<author><name sortKey="Lamster, Ira B" sort="Lamster, Ira B" uniqKey="Lamster I" first="Ira B." last="Lamster">Ira B. Lamster</name>
</author>
<author><name sortKey="Begg, Melissa D" sort="Begg, Melissa D" uniqKey="Begg M" first="Melissa D." last="Begg">Melissa D. Begg</name>
</author>
<author><name sortKey="Mitchell Lewis, Dennis" sort="Mitchell Lewis, Dennis" uniqKey="Mitchell Lewis D" first="Dennis" last="Mitchell-Lewis">Dennis Mitchell-Lewis</name>
</author>
<author><name sortKey="Fine, James B" sort="Fine, James B" uniqKey="Fine J" first="James B." last="Fine">James B. Fine</name>
</author>
<author><name sortKey="Grbic, John T" sort="Grbic, John T" uniqKey="Grbic J" first="John T." last="Grbic">John T. Grbic</name>
</author>
<author><name sortKey="Todak, George G" sort="Todak, George G" uniqKey="Todak G" first="George G." last="Todak">George G. Todak</name>
</author>
<author><name sortKey="El Sadr, Wafaa" sort="El Sadr, Wafaa" uniqKey="El Sadr W" first="Wafaa" last="El-Sadr">Wafaa El-Sadr</name>
</author>
<author><name sortKey="Gorman, Jack M" sort="Gorman, Jack M" uniqKey="Gorman J" first="Jack M." last="Gorman">Jack M. Gorman</name>
</author>
<author><name sortKey="Zambon, Joseph J" sort="Zambon, Joseph J" uniqKey="Zambon J" first="Joseph J." last="Zambon">Joseph J. Zambon</name>
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<author><name sortKey="Phelan, Joan A" sort="Phelan, Joan A" uniqKey="Phelan J" first="Joan A." last="Phelan">Joan A. Phelan</name>
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<sourceDesc><biblStruct><analytic><title level="a">Oral manifestations of HIV infection in homosexual men and intravenous drug users</title>
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<affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Periodontics, School of Dental and Oral Surgery, Columbia University. New York, N.Y.</wicri:regionArea>
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<author><name sortKey="Begg, Melissa D" sort="Begg, Melissa D" uniqKey="Begg M" first="Melissa D." last="Begg">Melissa D. Begg</name>
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<author><name sortKey="Fine, James B" sort="Fine, James B" uniqKey="Fine J" first="James B." last="Fine">James B. Fine</name>
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<author><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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<wicri:regionArea>Division of Periodontics, School of Dental and Oral Surgery, Columbia University. New York, N.Y.</wicri:regionArea>
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<author><name sortKey="Todak, George G" sort="Todak, George G" uniqKey="Todak G" first="George G." last="Todak">George G. Todak</name>
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<wicri:regionArea>HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute. New York, N.Y.</wicri:regionArea>
<wicri:noRegion>N.Y.</wicri:noRegion>
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<author><name sortKey="El Sadr, Wafaa" sort="El Sadr, Wafaa" uniqKey="El Sadr W" first="Wafaa" last="El-Sadr">Wafaa El-Sadr</name>
<affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases, Harlem Hospital Center. Buffalo, N.Y.</wicri:regionArea>
<wicri:noRegion>N.Y.</wicri:noRegion>
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<author><name sortKey="Gorman, Jack M" sort="Gorman, Jack M" uniqKey="Gorman J" first="Jack M." last="Gorman">Jack M. Gorman</name>
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<author><name sortKey="Zambon, Joseph J" sort="Zambon, Joseph J" uniqKey="Zambon J" first="Joseph J." last="Zambon">Joseph J. Zambon</name>
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<wicri:regionArea>Department of Oral Biology, School of Dental Medicine SUNY Buffalo. Buffalo, N.Y.</wicri:regionArea>
<wicri:noRegion>N.Y.</wicri:noRegion>
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<author><name sortKey="Phelan, Joan A" sort="Phelan, Joan A" uniqKey="Phelan J" first="Joan A." last="Phelan">Joan A. Phelan</name>
<affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dental Service, Veterans Administration Hospital at Northport, New York, N.Y.</wicri:regionArea>
<wicri:noRegion>N.Y.</wicri:noRegion>
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<series><title level="j">Oral Surgery, Oral Medicine, Oral Pathology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibiotic</term>
<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>
<term>Immunologic</term>
<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>
<term>Lesion</term>
<term>Lesion occurrence</term>
<term>Lesion presence</term>
<term>List location</term>
<term>Longitudinal study</term>
<term>Lymphocyte</term>
<term>Marginal erythema</term>
<term>Medical stage</term>
<term>Mental health</term>
<term>More lesions</term>
<term>National institute</term>
<term>Natural history</term>
<term>Negative association</term>
<term>Odds ratio</term>
<term>Odds ratio correspondsto</term>
<term>Oral biology</term>
<term>Oral candidiasis</term>
<term>Oral cavity</term>
<term>Oral disease</term>
<term>Oral lesions</term>
<term>Oral manifestations</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral surgery</term>
<term>Oral surgoral</term>
<term>Oral ulcers</term>
<term>Other cohorts</term>
<term>Pathology volume</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Plaque</term>
<term>Plaque accumulation</term>
<term>Point increase</term>
<term>Positive association</term>
<term>Positive associations</term>
<term>Prescription drug</term>
<term>Regression models</term>
<term>Seronegative</term>
<term>Seronegative groups</term>
<term>Seronegative ivdu</term>
<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>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Antibiotic</term>
<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>
<term>Immunologic</term>
<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>
<term>Lesion</term>
<term>Lesion occurrence</term>
<term>Lesion presence</term>
<term>List location</term>
<term>Longitudinal study</term>
<term>Lymphocyte</term>
<term>Marginal erythema</term>
<term>Medical stage</term>
<term>Mental health</term>
<term>More lesions</term>
<term>National institute</term>
<term>Natural history</term>
<term>Negative association</term>
<term>Odds ratio</term>
<term>Odds ratio correspondsto</term>
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<term>Oral candidiasis</term>
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<term>Oral pathol</term>
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<term>Oral ulcers</term>
<term>Other cohorts</term>
<term>Pathology volume</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Plaque</term>
<term>Plaque accumulation</term>
<term>Point increase</term>
<term>Positive association</term>
<term>Positive associations</term>
<term>Prescription drug</term>
<term>Regression models</term>
<term>Seronegative</term>
<term>Seronegative groups</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>Santé mentale</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>
</front>
</TEI>
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Oral manifestations of HIV infection in homosexual men and intravenous drug users

Oral manifestations of HIV infection in homosexual men and intravenous drug users

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri