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Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case.
Intern Med. 2017 Aug 15; 56(16):2223-2227.IM

Abstract

We herein report the case of a 41-year-old Japanese man with well-controlled HIV who presented with diagnostically difficult acute necrotizing ulcerative gingivitis (ANUG). After diet-induced weight loss, he developed oral pain and disturbance of mouth opening, and was admitted to our hospital. Based on preconceptions of HIV-associated diseases, fluconazole was initiated for candidiasis. However, no improvement was seen and ANUG was finally diagnosed. This case suggests that physicians should consider ANUG in HIV-infected individuals when several risk factors are present, even if CD4+ T-lymphocyte counts have remained stable owing to long-term anti-retroviral therapy.

Authors+Show Affiliations

Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital, Japan. Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Japan.Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital, Japan.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28781315

Citation

Kato, Hirofumi, and Akifumi Imamura. "Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case." Internal Medicine (Tokyo, Japan), vol. 56, no. 16, 2017, pp. 2223-2227.
Kato H, Imamura A. Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case. Intern Med. 2017;56(16):2223-2227.
Kato, H., & Imamura, A. (2017). Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case. Internal Medicine (Tokyo, Japan), 56(16), 2223-2227. https://doi.org/10.2169/internalmedicine.8409-16
Kato H, Imamura A. Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case. Intern Med. 2017 Aug 15;56(16):2223-2227. PubMed PMID: 28781315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case. AU - Kato,Hirofumi, AU - Imamura,Akifumi, Y1 - 2017/08/01/ PY - 2017/8/7/pubmed PY - 2018/1/30/medline PY - 2017/8/8/entrez KW - HIV KW - acute necrotizing ulcerative gingivitis (ANUG) KW - candidiasis KW - periodontal disease KW - spirochete SP - 2223 EP - 2227 JF - Internal medicine (Tokyo, Japan) JO - Intern. Med. VL - 56 IS - 16 N2 - We herein report the case of a 41-year-old Japanese man with well-controlled HIV who presented with diagnostically difficult acute necrotizing ulcerative gingivitis (ANUG). After diet-induced weight loss, he developed oral pain and disturbance of mouth opening, and was admitted to our hospital. Based on preconceptions of HIV-associated diseases, fluconazole was initiated for candidiasis. However, no improvement was seen and ANUG was finally diagnosed. This case suggests that physicians should consider ANUG in HIV-infected individuals when several risk factors are present, even if CD4+ T-lymphocyte counts have remained stable owing to long-term anti-retroviral therapy. SN - 1349-7235 UR - https://www.unboundmedicine.com/medline/citation/28781315/Unexpected_Acute_Necrotizing_Ulcerative_Gingivitis_in_a_Well-controlled_HIV-infected_Case L2 - https://dx.doi.org/10.2169/internalmedicine.8409-16 DB - PRIME DP - Unbound Medicine ER -