Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana
Identifieur interne : 000052 ( Main/Exploration ); précédent : 000051; suivant : 000053Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana
Auteurs : Paul Frimpong [Ghana] ; Emmanuel Kofi Amponsah [Ghana] ; Jacob Abebrese [Ghana] ; Soung Min Kim [Ghana, Corée du Sud]Source :
- Journal of the Korean Association of Oral and Maxillofacial Surgeons [ 2234-7550 ] ; 2017.
Abstract
Acquired immunodeficiency syndrome (AIDS) is a disease of the human immune system caused by the human immunodeficiency virus (HIV). People with AIDS are much more vulnerable to infections, including opportunistic infections and tumors, than people with a healthy immune system. The objective of this study was to correlate oral lesions associated with HIV/AIDS and immunosuppression levels by measuring clusters of differentiation 4 (CD4) cell counts among patients living in the middle western regions of Ghana.
A total of 120 patients who visited the HIV clinic at the Komfo Anokye Teaching Hospital and the Regional Hospital Sunyani of Ghana were consecutively enrolled in this prospective and cross-sectional study. Referred patients' baseline CD4 counts were obtained from medical records and each patient received an initial physician assessment. Intraoral diagnoses were based on the classification and diagnostic criteria of the EEC Clearinghouse, 1993. After the initial assessment, extra- and intraoral tissues from each enrolled patient were examined. Data analyses were carried out using simple proportions, frequencies and chi-square tests of significance.
Our study included 120 patients, and was comprised of 42 (35.0%) males and 78 (65.0%) females, ranging in age from 21 to 67 years with sex-specific mean ages of 39.31 years (males) and 39.28 years (females). Patient CD4 count values ranged from 3 to 985 cells/mL with a mean baseline CD4 count of 291.29 cells/mL for males and 325.92 cells/mL for females. The mean baseline CD4 count for the entire sample was 313.80 cells/mL. Of the 120 patients we examined, 99 (82.5%) were observed to have at least one HIV-associated intraoral lesion while 21 (17.5%) had no intraoral lesions. Oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis and xerostomia were the most common oral lesions.
From a total of nine oral lesions, six lesions that included oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis, xerostomia and oral hairy leukoplakia were significantly correlated with declining CD4 counts.
Url:
DOI: 10.5125/jkaoms.2017.43.1.29
PubMed: 28280707
PubMed Central: 5342969
Affiliations:
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Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani</wicri:regionArea><wicri:noRegion>Sunyani</wicri:noRegion></affiliation></author><author><name sortKey="Amponsah, Emmanuel Kofi" sort="Amponsah, Emmanuel Kofi" uniqKey="Amponsah E" first="Emmanuel Kofi" last="Amponsah">Emmanuel Kofi Amponsah</name><affiliation wicri:level="1"><nlm:aff id="A1">Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani</wicri:regionArea><wicri:noRegion>Sunyani</wicri:noRegion></affiliation></author><author><name sortKey="Abebrese, Jacob" sort="Abebrese, Jacob" uniqKey="Abebrese J" first="Jacob" last="Abebrese">Jacob Abebrese</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Ear, Nose and Throat, Brong Ahafo Regional Hospital, Sunyani, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Department of Ear, Nose and Throat, Brong Ahafo Regional Hospital, Sunyani</wicri:regionArea><wicri:noRegion>Sunyani</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Soung Min" sort="Kim, Soung Min" uniqKey="Kim S" first="Soung Min" last="Kim">Soung Min Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani</wicri:regionArea><wicri:noRegion>Sunyani</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName><orgName type="university">Université nationale de Séoul</orgName></affiliation></author></analytic><series><title level="j">Journal of the Korean Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">2234-7550</idno><idno type="eISSN">2234-5930</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Acquired immunodeficiency syndrome (AIDS) is a disease of the human immune system caused by the human immunodeficiency virus (HIV). People with AIDS are much more vulnerable to infections, including opportunistic infections and tumors, than people with a healthy immune system. The objective of this study was to correlate oral lesions associated with HIV/AIDS and immunosuppression levels by measuring clusters of differentiation 4 (CD4) cell counts among patients living in the middle western regions of Ghana.</p></sec><sec><title>Materials and Methods</title><p>A total of 120 patients who visited the HIV clinic at the Komfo Anokye Teaching Hospital and the Regional Hospital Sunyani of Ghana were consecutively enrolled in this prospective and cross-sectional study. Referred patients' baseline CD4 counts were obtained from medical records and each patient received an initial physician assessment. Intraoral diagnoses were based on the classification and diagnostic criteria of the EEC Clearinghouse, 1993. After the initial assessment, extra- and intraoral tissues from each enrolled patient were examined. Data analyses were carried out using simple proportions, frequencies and chi-square tests of significance.</p></sec><sec><title>Results</title><p>Our study included 120 patients, and was comprised of 42 (35.0%) males and 78 (65.0%) females, ranging in age from 21 to 67 years with sex-specific mean ages of 39.31 years (males) and 39.28 years (females). Patient CD4 count values ranged from 3 to 985 cells/mL with a mean baseline CD4 count of 291.29 cells/mL for males and 325.92 cells/mL for females. The mean baseline CD4 count for the entire sample was 313.80 cells/mL. Of the 120 patients we examined, 99 (82.5%) were observed to have at least one HIV-associated intraoral lesion while 21 (17.5%) had no intraoral lesions. Oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis and xerostomia were the most common oral lesions.</p></sec><sec><title>Conclusion</title><p>From a total of nine oral lesions, six lesions that included oral candidiasis, periodontitis, melanotic hyperpigmentation, gingivitis, xerostomia and oral hairy leukoplakia were significantly correlated with declining CD4 counts.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Parathyras, J" uniqKey="Parathyras J">J Parathyras</name></author><author><name sortKey="Gebhardt, S" uniqKey="Gebhardt S">S Gebhardt</name></author><author><name sortKey="Hillermann Rebello, R" uniqKey="Hillermann Rebello R">R Hillermann-Rebello</name></author><author><name sortKey="Grobbelaar, N" uniqKey="Grobbelaar N">N Grobbelaar</name></author><author><name sortKey="Venter, M" uniqKey="Venter M">M Venter</name></author><author><name sortKey="Warnich, L" 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Greenspan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sabin, Ca" uniqKey="Sabin C">CA Sabin</name></author><author><name sortKey="Phillips, An" uniqKey="Phillips A">AN Phillips</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaurav, S" uniqKey="Gaurav S">S Gaurav</name></author><author><name sortKey="Keerthilatha, Pm" uniqKey="Keerthilatha P">PM Keerthilatha</name></author><author><name sortKey="Archna, N" uniqKey="Archna N">N Archna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nam, Jh" uniqKey="Nam J">JH Nam</name></author><author><name sortKey="Noh, Kl" uniqKey="Noh K">KL Noh</name></author><author><name sortKey="Pang, Eo" uniqKey="Pang E">EO Pang</name></author><author><name sortKey="Kim, Dy" uniqKey="Kim D">DY Kim</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author><author><name sortKey="Chung, Ja" uniqKey="Chung J">JA Chung</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li><li>Ghana</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement><orgName><li>Université nationale de Séoul</li></orgName></list><tree><country name="Ghana"><noRegion><name sortKey="Frimpong, Paul" sort="Frimpong, Paul" uniqKey="Frimpong P" first="Paul" last="Frimpong">Paul Frimpong</name></noRegion><name sortKey="Abebrese, Jacob" sort="Abebrese, Jacob" uniqKey="Abebrese J" first="Jacob" last="Abebrese">Jacob Abebrese</name><name sortKey="Amponsah, Emmanuel Kofi" sort="Amponsah, Emmanuel Kofi" uniqKey="Amponsah E" first="Emmanuel Kofi" last="Amponsah">Emmanuel Kofi Amponsah</name><name sortKey="Kim, Soung Min" sort="Kim, Soung Min" uniqKey="Kim S" first="Soung Min" last="Kim">Soung Min Kim</name></country><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Soung Min" sort="Kim, Soung Min" uniqKey="Kim S" first="Soung Min" last="Kim">Soung Min Kim</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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