Bascones Antonio, Serrano Carlos, Campo Julián
Facultad de Odontología. Universidad Complutense de Madrid. Madrid. España.
Med Clin (Barc). 2003 Mar 29;120(11):426-34. doi: 10.1016/s0025-7753(03)73726-9.
Oral manifestations of HIV infection are sometimes the first sign of the disease and often indicate its progression to acquired immune deficiency syndrome (AIDS), thus it is important for health professionals (physicians and dentist) to possess adequate knowledge of these lesions. Improvements in antiretroviral treatments, especially with the incorporation of HAART therapy, have produced a gradual reduction in the prevalence of HIV-associated oral lesions. On the other hand, the increased life expectancy of HIV-positive patients has led to their greater presence at our clinics, implying the need for continuous updating in the diagnosis and treatment of these processes. Using the consensus classification (EEC-Clearinghouse, 1993) we reviewed the diagnostic criteria and current treatment protocols for the different HIV infection related oral lesions in both adults and children.
HIV感染的口腔表现有时是该疾病的首发症状,且常常预示着其进展为获得性免疫缺陷综合征(AIDS),因此,卫生专业人员(医生和牙医)充分了解这些损害至关重要。抗逆转录病毒治疗的改进,尤其是高效抗逆转录病毒治疗(HAART)的应用,已使HIV相关口腔损害的患病率逐渐降低。另一方面,HIV阳性患者预期寿命的延长导致他们更多地出现在我们的诊所,这意味着需要不断更新这些病症的诊断和治疗知识。我们采用共识分类法(欧洲共同体信息交换所,1993年),回顾了成人和儿童不同HIV感染相关口腔损害的诊断标准和当前治疗方案。