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Rapid progression of bone loss in HIV-associated necrotizing ulcerative stomatitis.
J Periodontol. 1998 Jun; 69(6):710-6.JP

Abstract

This report describes a case of rapidly progressive periodontal tissue breakdown and bone loss in an HIV-infected markedly immunosuppressed homosexual male. Within 6 months of initial presentation with a necrotizing ulcerative gingivitis, the lesion extended to a necrotizing ulcerative stomatitis involving the surrounding periodontium and palatal mucosa. With only partial compliance to local debridement, chlorhexidine oral rinses, and systemic metronidazole therapy, alveolar bone loss resulted in tooth mobility necessitating extraction of 2 involved teeth. This case illustrates the continuum of necrotizing ulcerative infections of the periodontium in the severely immunosuppressed patient. The implications of these oral manifestations of HIV infection are discussed.

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Authors+Show Affiliations

Patton LL
Department of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill 27599-7450, USA. Lauren_Patton@dentistry.UNC.EDU
McKaig R
No affiliation info available

MeSH

AIDS-Related Opportunistic InfectionsAdultAlveolar Bone LossAnti-Infective AgentsAnti-Infective Agents, LocalChlorhexidineDebridementDisease ProgressionGingivitis, Necrotizing UlcerativeHumansImmunocompromised HostMaleMetronidazoleMouth MucosaMouthwashesPalateTooth ExtractionTooth Mobility

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9660340

Citation

Patton, L L., and R McKaig. "Rapid Progression of Bone Loss in HIV-associated Necrotizing Ulcerative Stomatitis." Journal of Periodontology, vol. 69, no. 6, 1998, pp. 710-6.
Patton LL, McKaig R. Rapid progression of bone loss in HIV-associated necrotizing ulcerative stomatitis. J Periodontol. 1998;69(6):710-6.
Patton, L. L., & McKaig, R. (1998). Rapid progression of bone loss in HIV-associated necrotizing ulcerative stomatitis. Journal of Periodontology, 69(6), 710-6.
Patton LL, McKaig R. Rapid Progression of Bone Loss in HIV-associated Necrotizing Ulcerative Stomatitis. J Periodontol. 1998;69(6):710-6. PubMed PMID: 9660340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rapid progression of bone loss in HIV-associated necrotizing ulcerative stomatitis. AU - Patton,L L, AU - McKaig,R, PY - 1998/7/11/pubmed PY - 1998/7/11/medline PY - 1998/7/11/entrez SP - 710 EP - 6 JF - Journal of periodontology JO - J Periodontol VL - 69 IS - 6 N2 - This report describes a case of rapidly progressive periodontal tissue breakdown and bone loss in an HIV-infected markedly immunosuppressed homosexual male. Within 6 months of initial presentation with a necrotizing ulcerative gingivitis, the lesion extended to a necrotizing ulcerative stomatitis involving the surrounding periodontium and palatal mucosa. With only partial compliance to local debridement, chlorhexidine oral rinses, and systemic metronidazole therapy, alveolar bone loss resulted in tooth mobility necessitating extraction of 2 involved teeth. This case illustrates the continuum of necrotizing ulcerative infections of the periodontium in the severely immunosuppressed patient. The implications of these oral manifestations of HIV infection are discussed. SN - 0022-3492 UR - https://www.unboundmedicine.com/medline/citation/9660340/Rapid_progression_of_bone_loss_in_HIV_associated_necrotizing_ulcerative_stomatitis_ L2 - https://doi.org/10.1902/jop.1998.69.6.710 DB - PRIME DP - Unbound Medicine ER -