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Necrotising ulcerative gingivitis/periodontitis as indicators of HIV-infection.
SADJ. 2004 Apr; 59(3):105-8.SADJ

Abstract

Necrotising ulcerative gingivitis/periodontitis (NUG/NUP) are well-documented oral manifestations of HIV infection/AIDS. However, no information is available regarding the predictive value of NUG in the diagnosis of HIV-infection in South Africa.

OBJECTIVES

The purpose of this study was to determine a possible correlation between NUG/NUP and HIV infection in the as yet undiagnosed patients.

METHODS

Eighty-six systemically asymptomatic patients were diagnosed with NUG/NUP. All patients were treated with 400 mg of metronidazole and 500 mg paracetamol, three times a day for five days. Mechanical debridement under local anesthesia was performed five days after the initial consultation. The possible involvement of HIV-infection was explained and patients were advised to have a blood test taken.

RESULTS

Fifty-six patients consented and received pre- and post-test counselling. Of the fifty-six patients, thirty-nine were found to be HIV positive with CD+ T cell counts ranging between 9 and 1,205 cells/mm3. There was a statistically significant correlation between CD4+ T cells below 500 cells/mm3 (p = 0.000) as well as with CD4+ T cells below 200 cells/mm3 (p = 0.001) and NUP/NUG.

CONCLUSION

From these results it is concluded that in the GaRankuwa and surrounding areas, NUG/NUP in otherwise systemically healthy individuals is strongly correlated with HIV infection, with a predictive value of 69.6 per cent (p = 0.01). It is recommended that patients presenting with these conditions be encouraged to undergo testing to establish their HIV status for appropriate referrals and management.

Authors+Show Affiliations

Dept of Periodontology and Oral Medicine, Faculty of Dentistry, Medunsa.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15214212

Citation

Shangase, L, et al. "Necrotising Ulcerative Gingivitis/periodontitis as Indicators of HIV-infection." SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, vol. 59, no. 3, 2004, pp. 105-8.
Shangase L, Feller L, Blignaut E. Necrotising ulcerative gingivitis/periodontitis as indicators of HIV-infection. SADJ. 2004;59(3):105-8.
Shangase, L., Feller, L., & Blignaut, E. (2004). Necrotising ulcerative gingivitis/periodontitis as indicators of HIV-infection. SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, 59(3), 105-8.
Shangase L, Feller L, Blignaut E. Necrotising Ulcerative Gingivitis/periodontitis as Indicators of HIV-infection. SADJ. 2004;59(3):105-8. PubMed PMID: 15214212.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Necrotising ulcerative gingivitis/periodontitis as indicators of HIV-infection. AU - Shangase,L, AU - Feller,L, AU - Blignaut,E, PY - 2004/6/25/pubmed PY - 2004/8/27/medline PY - 2004/6/25/entrez SP - 105 EP - 8 JF - SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging JO - SADJ VL - 59 IS - 3 N2 - UNLABELLED: Necrotising ulcerative gingivitis/periodontitis (NUG/NUP) are well-documented oral manifestations of HIV infection/AIDS. However, no information is available regarding the predictive value of NUG in the diagnosis of HIV-infection in South Africa. OBJECTIVES: The purpose of this study was to determine a possible correlation between NUG/NUP and HIV infection in the as yet undiagnosed patients. METHODS: Eighty-six systemically asymptomatic patients were diagnosed with NUG/NUP. All patients were treated with 400 mg of metronidazole and 500 mg paracetamol, three times a day for five days. Mechanical debridement under local anesthesia was performed five days after the initial consultation. The possible involvement of HIV-infection was explained and patients were advised to have a blood test taken. RESULTS: Fifty-six patients consented and received pre- and post-test counselling. Of the fifty-six patients, thirty-nine were found to be HIV positive with CD+ T cell counts ranging between 9 and 1,205 cells/mm3. There was a statistically significant correlation between CD4+ T cells below 500 cells/mm3 (p = 0.000) as well as with CD4+ T cells below 200 cells/mm3 (p = 0.001) and NUP/NUG. CONCLUSION: From these results it is concluded that in the GaRankuwa and surrounding areas, NUG/NUP in otherwise systemically healthy individuals is strongly correlated with HIV infection, with a predictive value of 69.6 per cent (p = 0.01). It is recommended that patients presenting with these conditions be encouraged to undergo testing to establish their HIV status for appropriate referrals and management. SN - 1029-4864 UR - https://www.unboundmedicine.com/medline/citation/15214212/Necrotising_ulcerative_gingivitis/periodontitis_as_indicators_of_HIV_infection_ L2 - http://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -