AIDS is a highly contagious disease cypress and mass murderer. some of us sometimes do not know for certain AIDS. Here I describe the characteristics of people infected with AIDS in the oral cavity.
AIDS is a collection of symptoms a disease characterized by destruction of
immune system so vulnerable to various kinds of infections. AIDS
caused by the virus Human Immunodeficiency Virus (HIV).
Until now not be known with certainty from which start
AIDS outbreaks. The disease AIDS is not transmitted through casual contact,
but is transmitted through sexual contact, contact with contaminated blood
HIV and by needles or other medical equipment contaminated with HIV.
Conversely AIDS can not be transmitted through insect bites, beverages, or
casual contact in families, schools, swimming pools, public toilets or workplace
with people with AIDS.
Clinical symptoms of AIDS
AIDS has a broad spectrum of clinical picture. In the early
beginning there are symptoms like the flu. Patients who feel tired
prolonged and without cause, the lymph glands in the neck, armpit,
swollen groin for months, decreased appetite / loss,
persistent fever reached 39 degrees Celsius or sweating on
evenings, diarrhea, weight loss without reason, black wounds on the skin
or mucous membranes that can not be cured, prolonged coughing and
in the throat, easy bruising or bleeding without cause. Symptoms
the beginning is often called AIDS Related Complex (ARC). In the unlikely event of this disease
increases, other malignant disease develops, such as: pneumonia (penumocytis
carinii), thrush esophagus, cytomegalovirus or herpes, sarcoma sarcoma, a tumor
malignant blood vessels.
AIDS manifestations in the oral cavity
About 95% of AIDS patients have manifestations in the head area and
neck as well as by Shiod and Pinborg 1987.Manifestations in the mouth
often an early sign of HIV urinary
Infections due to fungi (Oral Candidiasis)
Kandiasi nulut so far is a sign at the mouth of the most frequently
found both in people with AIDS or AIDS related complex (ARC) and
a sign of clinical manifestations in patients with risk group tinggipada
over 59% of cases.
Oral thrush in people with AIDS can be seen in the form of oral thrush, acute
atrophic candidiasis, chronic hyperplastic candidiasis, and stomatis angularis
(Perleche).
Infections due to viruses
Infections due to herpes virus group most often seen in AIDS patients
and ARC. Viral infection in patients can be seen in the form stomatis herpetiformis,
herpes zoster, hairy leukoplakia, cytomegalovirus.
Infections due to bacteria
Infection because the bacteria can be either HIV or HIV-necrotizing gingivitis
periodontitis.
a. HIV-necrotizing gingivitis
HIV-necrotizing gingivitis can be found in people with AIDS or
ARC. These lesions can be hidden or sudden bleeding time accompanied
brushing teeth, pain and halitosis.
Necrotizing gingivitis is most common on the anterior gingiva. In
this situation, the sovereign, when the interdental and gingival edge will appear red,
swelling, or grayish yellow because of necrosis, often shot
ulcrerative severe necrotizing gingivitis and periodontal disease
progressive despite oral hygiene is well maintained and although it has been
given antibiotics.
b. HIV periodontitis
Periodontal disease may take place progressively
is an early indicator that can be found in HIV infection. Dentist
should diagnose the early process of alveolar bone destruction
with a commitment to consider the possibility of HIV infection.
This is caused mainly by the fact that some patients
AIDS is experiencing rapid alveolar bone destruction.
Neoplasm
Kaposi's sarcoma associated with AIDS appears to be a disease
a more virulent and usually has spread at the time of initial diagnosis.
Approximately 40% of AIDS patients with sarcoma sarcoma will die within
approximately one year and is usually accompanied by other infections opotunistik
(Eg pneumocystic carinii, fungi, viruses, bacteria).
Oral manifestations sarcoma sarcoma is usually an early sign of AIDS and
generally (50%) were found in the mouth of homosexual men. In addition to the mouth, sarcoma
It can also be found in the skin of head and neck. Kaposi's sarcoma in the mouth
usually seen at first as the macula, nodules and plaques are flat or
prominent, usually circular and red or purple.
Located on the palate and the size of only a few millimeters up to
centimeters. Irregular shape, can be single or multiple and usually
asintomatik, so that newly perceived by the patient when the lesions have become quite large.
Other abnormalities in the mouth
These abnormalities is not known why, can arise in the form:
a. Stomatis aphtosa recurrence, especially the type of major.
b. Necrotic ulcer that extends to fausia.
c. Xerostomia
d. Parotid gland enlargement, especially the children of AIDS patients.
e. Idiophatic thrombocytopenia purpura.
f. Facial palsy
g. Addisonian mucosal hyperpigmentation
h. Submandibular lymphadenopathy.
i. Hyperpigmentation melanotik
j. Healing old wounds
k. Babies born with AIDS infection can be deformed face.
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