Ludvigsen Lene Ugilt Pagter, Søgaard Ole Schmeltz
Øre-Næse-Halsafdelingen, Sygehus Sønderjylland, Sydvang 1, 6400 Sønderborg.
Ugeskr Laeger. 2014 Dec 15;176(25A).
Oral lesions such as candidiasis, Kaposi's sarcoma, hairy leukoplakia, herpes simplex infection, and ulcerative periodontitis are associated with HIV infection and may be the primary presentation in persons with undiagnosed HIV. We report a clinical case in which an 80-year-old man presented with an oral ulcer with morphological signs of immuno-suppression. The patient was perceived to be at low risk of HIV infection and thus, diagnostic HIV testing was delayed until subsequent development of Kaposi's sarcoma on the skin.
口腔病变如念珠菌病、卡波西肉瘤、毛状白斑、单纯疱疹感染和溃疡性牙周炎与HIV感染有关,可能是未确诊HIV感染者的主要表现。我们报告一例临床病例,一名80岁男性出现具有免疫抑制形态学体征的口腔溃疡。该患者被认为HIV感染风险较低,因此,HIV诊断检测被推迟,直到后来皮肤出现卡波西肉瘤。