An epidemiological investigation of oral lesions in HIV infected subjects aged 50 years and older in Yunnan China / 实用口腔医学杂志

ABSTRACT

Objective: To investigate the characteristics of oral lesions in HIV infected patients aged 50 years or older in Yunnan.Methods: 315 HIV infected patients aged 50 years and older from January 2013 to December 2016 were included in a cross-sectional survey at the Third People's Hospital of Kunming. The characteristics of oral mucosal lesions and the relationship between the oral lesions and CD4 count level were analyzed. Results: 13 kinds of oral mucosal lesion in 185 out of the 315 cases (58. 73％) were observed. 122 cases were with candidiasis (38. 73％), including 68 (21. 59％) of pseudomembranous type, 52 (16. 51％) of erythema and 18 (5. 71％) of stomatitis; 25 (7. 94％) were with Hairy leukoplakia, 20 (6. 35％) with recurrent oral ulcer, 17 (5. 40％) with fissured tongue, 11 (3. 49％) with herpes simplex. 2 and 3 lesions were detected in 41 cases (13. 02％) and 1 case (0. 32％), respectively. The rate of simultaneous detection of more than 2 lesions and the detection rate of oral candidiasis were related to the CD4 count level. Conclusion: Oral mucosal lesions are common in elderly patients with HIV infection, and oral candidiasis is the main type.