Gender differences in oral manifestations among HIV-infected Brazilian adults

Dongo, Maria; Gonçalves, Lúcio Souza; Ferreira, Sônia Maria Soares; Noce, Cesar Werneck; Dias, Eliane Pedra; Júnior, Arley Silva

doi:10.1111/idj.12029

Cited by 13 publications

(7 citation statements)

References 39 publications

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“…In contrast, in the individuals in this study, no opportunistic oral lesions are detected, although some of them had medical history of oral candidiasis and Kaposi sarcoma before treatment. This finding is in agreement with other studies that evaluated patients treated with HAART, which found a relatively low prevalence of opportunistic oral lesions 31 , 32 . In the study of Dongo et al, 31 it was found that only 5% of individuals, from a total of 987 HIV+ individuals, had some opportunistic oral lesion.…”

Section: Discussionsupporting

confidence: 93%

“…This finding is in agreement with other studies that evaluated patients treated with HAART, which found a relatively low prevalence of opportunistic oral lesions 31 , 32 . In the study of Dongo et al, 31 it was found that only 5% of individuals, from a total of 987 HIV+ individuals, had some opportunistic oral lesion. Furthermore, Ramos et al 32 evaluated 1,232 HIV+ patients and found only 1.2% of necrotizing periodontal disease cases.…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Periodontal Conditions in Human Immunodeficiency Virus–Positive Patients Under Highly Active Antiretroviral Therapy From a Metropolitan Area of Rio De Janeiro

Barreto¹,

Santos²,

Gomes

et al. 2016

Journal of Periodontology

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The current investigation demonstrates that HIV+ individuals under HAART presents a high prevalence of mild to moderate periodontal disease. Viral load levels, CD4+ nadir, and CD4+ counts may present a weak to moderate correlation to the number of missing teeth, periodontal diagnosis, moderate PD, and moderate CAL, which may also reflect some effect of these systemic conditions on the periodontal status.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Periodontal Conditions in Human Immunodeficiency Virus–Positive Patients Under Highly Active Antiretroviral Therapy From a Metropolitan Area of Rio De Janeiro

Barreto¹,

Santos²,

Gomes

et al. 2016

Journal of Periodontology

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“…Fifty of 1439 studies met the criteria and were fully assessed . Unlike previous decades, the majority of the studies of this era (N = 43) were undertaken in developing countries.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the changing pattern of the oral manifestations ofHIV

Howati

Tappuni

2018

J of Invest & Clin Dent

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The purpose of the present study paper was to review the reported prevalence of the oral manifestations of HIV (OM-HIV) worldwide since 1980, and to determine the global variation in its prevalence over time. PubMed, Scopus, Embase and Google Scholar were searched. The filter "English" was used. The timeframe searched was 1980- 2015. The PRISMA flow chart was used. Data were extracted using the Joanna Briggs Institute standardized data extraction form and transferred to SPSS version 22 for analysis. The systematic review of 97 studies (70 low bias risk) showed that the prevalence of OM-HIV continue to be significant in developing countries. Globally and through all the decades, oral candidiasis remained the most commonly encountered OM-HIV, including among patients on antiretroviral therapy (ART) (26.2%). Hairy leukoplakia was more prevalent in Europe and America compared with Africa and Asia. Oral warts were reported more often in studies on patients receiving ART. Interestingly, salivary gland disease decreased in the developed world and increased in developing countries over time. Despite the changing pattern of these conditions over time, there is no evidence that the OM-HIV have become of less significance globally. Maintaining the drive for high-quality research in the subject will have an impact on less developed countries to help address oral health inequalities.

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“…The demographic characteristics reported in the literature suggest a higher prevalence of OHL among HIV positive males, particularly homosexuals 1,18,19,20,21 . Our study likewise showed the male gender as the most affected, though the incidence of OHL among women had increased in the latest years.…”

Section: Discussionmentioning

confidence: 97%

Retrospective analysis of the clinical behavior of oral hairy leukoplakia in 215 HIV-seropositive patients

et al. 2016

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Oral manifestations are common findings in human immunodeficiency virus (HIV) infected patients and frequently influence the overall health. Oral hairy leukoplakia (OHL) is strongly associated with HIV infection demonstrating its relationship with the individual's immune status and progression of immunosuppression. This study aims to retrospectively evaluate OHL in HIV patients, analyzing its incidence, demographic aspects and possible changes in clinical and epidemiological profile of the disease over 17 years. The records of 1600 HIV-infected patients were reviewed. The data were correlated and analyzed, considering HIV exposure category, age, gender, harmful habits, CD4 level, use and type of antiretroviral. OHL was observed in 215 (13.4%) patients. Most were men in the fourth decade of life, 171 (79.5%) and 112 (52,1%) respectively, but an increase in the incidence of OHL among female patients and those in the fifth decade of life was observed. Tobacco smoking was the most frequent harmful habit reported by 114 (68%) patients. OHL occurred mostly in patients with CD4 counts between 200 and 500 cells/mm3 35 (55.5%). The lower incidence of OHL was found among patients using at least one non-nucleoside reverse transcriptase inhibitor (NNRTI). OHL is related to CD4 count, use of ARVT and tobacco smoking and is also more prevalent in men in the fourth decade of life. These characteristics were recognized in absolute values, but when verifying the behavior over the years we noticed that the incidence of OHL is decreasing and its epidemiological characteristics changing.

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Gender differences in oral manifestations among HIV-infected Brazilian adults

Abstract: These data shows that oral manifestations are less prevalent in females than in males, particularly oral hairy leukoplakia.

Cited by 13 publications

References 39 publications

Periodontal Conditions in Human Immunodeficiency Virus–Positive Patients Under Highly Active Antiretroviral Therapy From a Metropolitan Area of Rio De Janeiro

Periodontal Conditions in Human Immunodeficiency Virus–Positive Patients Under Highly Active Antiretroviral Therapy From a Metropolitan Area of Rio De Janeiro

Systematic review of the changing pattern of the oral manifestations ofHIV

Retrospective analysis of the clinical behavior of oral hairy leukoplakia in 215 HIV-seropositive patients

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