Aids e estomatite aftóide recidivante

Abstract

The immunodeficiency state in HIV infected patients has been the cause of severe episodes of Recurrent Aphthous Stomatitis (RAS). Aim: Our study aims to establish correlation between the manifestations of RAS and the immunosuppression state caused by HIV infection, through counting of CD4+ cells, CD8+ cells, CD4+:CD8+ cells ratio and viral load. Study design: series study. Material and Method: Ninety-four HIV infected patients (25 women and 69 men) with RAS were evaluated in the ENT Department of the University of Sao Paulo-Medical School from January 1998 to December 2003. The age ranged between 19 and 63 years (mean = 35.3 years). The patients were divided in two groups: AIDS group and HIV infected group. Results: The patients with AIDS and HIV infection presented, respectively, eight ulcers and two ulcers by outbreaks. Similarly, patients with major RAS presented smaller counting of cells CD8+, CD4+ and CD4+/CD8+ cells, and higher mean value of viral load than the patients with herpetiform and minor RAS. Between patients with minor and herpetiform RAS there were no statistical differences. Conclusions: The emergence of the lesions, mainly in major RAS, is directly related to the immunological state of the HIV infected patient. These patients frequently present nutritional deficits and worsening in life style. Thus, diagnosis and treatment of RAS is a challenge that should not be neglected.

Otolaryngologic manifestations in HIV disease: clinical aspects and treatment

“…Furthermore, the number of patients with major ulcers and absolute CD4+ cell counts below 60 was higher compared to that of patients with herpetiform and minor ulcers. 13 Thalidomide is the most effective treatment; the benefit of this drug should be weighed against the risk of adverse effects and teratogenicity.…”

Avaliação Do Desperdício De Uma Unidade De Alimentação E Nutrição Pública

“…Cosmetic treatments: Facial reconstruction with free flaps or silicone; liposuction. Lipectomy to remove excess fat; fillings with methacrylate; and use of mouth prostheses to fill the spaces of the lost dental elements or even to the edentulous ones, evidences a considerable improvement of the conditions of deformities caused by the facial lipoatrophy, reducing the losses, and sinking of the facial region of the patient (BRASIL, 2009;AKINBORO et al, 2017;MIZIARA et al, 2005). because it is simple, non-invasive, and low cost (BRASIL, 2009;AKINBORO et al, 2017;MIZIARA et al, 2005).…”

Avaliação Do Teor De Glúten Úmido E Glúten Seco De Farinhas De Trigo Comercializadas Em Vitória Da Conquista – Ba

“…Cosmetic treatments: Facial reconstruction with free flaps or silicone; liposuction. Lipectomy to remove excess fat; fillings with methacrylate; and use of mouth prostheses to fill the spaces of the lost dental elements or even to the edentulous ones, evidences a considerable improvement of the conditions of deformities caused by the facial lipoatrophy, reducing the losses, and sinking of the facial region of the patient (BRASIL, 2009;AKINBORO et al, 2017;MIZIARA et al, 2005).…”