Oral manifestations associated with human immunodeficiency virus infection in 200 Indian patients..

Objective: To determine the pattern and prevalence of oral lesions in HIV infected 200 costal Andhra Pradesh patients. Patients and methods: the study population comprised 200 consecutive HIV seropositive patients presented to regional ART center at Andhra Pradesh, India. The oral lesions were diagnosed based on clinical appearance and were entered in to the database for analysis. Results: 30-39 yrs age group was most commonly affected and 87% of the patients had acquired infection via heterosexual contact. Oral lesions were seen in 66% of the patients. Gingivitis (36.7% males & 33.9% females) was the most common lesion followed by candidiasis (21% males & 26.4% females), periodontitis (6.8% males & 7.5% females), pigmentation (36.7% males & 33.9% females), ulcers (2.7% males & 0% females) and leukoplakia (1.3% males & 0% females). Conclusion: The pattern of oral lesions associated with HIV infection was not markedly different form those reported in the literature, the prevalence of each type of lesion differ slightly.

Coledocolitiase - analise de 162 casos (com enfase especial a diferenciacao entre litiase primaria e secundaria). / Common bile duct lithiasis - analysis of 162 cases (with special emphasis to differentiation between primary and secondary lithiasis)

162 casos de coledocolitiase operados na Clinica de Cirurgia Geral II do Hospital do Andarai foram analisados: 14 foram considerados como litiase primaria do coledoco e as restantes 148 como secundarias. O criterio para considerar a litiase primaria foi a concomitancia de: a) calculos moles, facilmente fragmentados a pressao digital; b) coledoco muito dilatado; c)vesicula sem calculo e cistico fino, ou com calculos duros, diferentes dos do coledoco. Sao analisados a sintomatologia, os achados cirurgicos e as operacoes realizadas nos 2 grupos de coledocolitiase. Houve 7 obitos operatorios (4,3%) e foi conseguido segmento em 88 pacientes operados entre 6 meses e 13 anos. E enfatizada a necessidade da cirurgia de drenagem biliar complementar (esfincteroplastia ou coledocoduodenostomia) em todos os casos de litiase primaria e nos de litiase secundaria quando ha oddite estenosante, grande dilatacao do coledoco ou multiplos calculos nos canais biliares. O seguimento de 88 pacientes operados mostrou otimo resultado em 93,2% dos casos