Oral Ulcers and Necrotizing Gingivitis in Relation to HIV-Associated Neutropenia: A Review and an Illustrative Case

An unusual case of necrotizing gingivitis and neutropenic oral ulcers in an HIV-seropositive patient is presented. In spite of a very low CD4(+) T cell count and severe neutropenia, the necrotizing gingivitis responded favorably to standard periodontal treatment, and the oral ulcers healed after adm...

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Veröffentlicht in:AIDS research and human retroviruses 2012-04, Vol.28 (4), p.346-351
Hauptverfasser: FELLER, Liviu, KHAMMISSA, Razia A. G, WOOD, Neil H, MEYEROV, Robin, PANTANOWITZ, Liron, LEMMER, Johan
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container_end_page 351
container_issue 4
container_start_page 346
container_title AIDS research and human retroviruses
container_volume 28
creator FELLER, Liviu
KHAMMISSA, Razia A. G
WOOD, Neil H
MEYEROV, Robin
PANTANOWITZ, Liron
LEMMER, Johan
description An unusual case of necrotizing gingivitis and neutropenic oral ulcers in an HIV-seropositive patient is presented. In spite of a very low CD4(+) T cell count and severe neutropenia, the necrotizing gingivitis responded favorably to standard periodontal treatment, and the oral ulcers healed after administration of granulocyte colony-stimulating factor (G-CSF). Nonspecific oral ulcers in HIV-seropositive subjects with neutropenia should be regarded as neutropenic ulcers. The term nonspecific ulcers should be restricted to those ulcers with nonspecific histopathological features in patients without neutropenia or a nutritional deficiency such as iron, folic acid, and vitamin B.
doi_str_mv 10.1089/aid.2011.0141
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subjects AIDS-Related Opportunistic Infections - drug therapy
AIDS-Related Opportunistic Infections - etiology
AIDS/HIV
Anti-Infective Agents - administration & dosage
Biological and medical sciences
CD4 antigen
Dental Plaque - prevention & control
Dental Scaling
Folic acid
Fundamental and applied biological sciences. Psychology
Gingivitis
Gingivitis, Necrotizing Ulcerative - drug therapy
Gingivitis, Necrotizing Ulcerative - etiology
Gingivitis, Necrotizing Ulcerative - virology
Granulocyte colony-stimulating factor
HIV Seropositivity - complications
HIV Seropositivity - drug therapy
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Iron
Lymphocytes T
Male
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Mouthwashes - therapeutic use
Neutropenia
Neutropenia - complications
Neutropenia - virology
Nutrient deficiency
Retrovirus
Treatment Outcome
Ulcers
Viral diseases
Virology
Vitamins
title Oral Ulcers and Necrotizing Gingivitis in Relation to HIV-Associated Neutropenia: A Review and an Illustrative Case
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