Document 2642
 DOCN  M94A2642
 TI    Oral pathology in pediatric patients with HIV infection.
 DT    9412
 AU    Sacco R; Startari R; Arosio A; Simoni L; Mannucci PM; Istituto
       Stomatologico Italiano, Milano.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):258 (abstract no. PB0460). Unique
       Identifier : AIDSLINE ICA10/94369933
 AB    OBJECTIVE: To determine type and frequency of oral pathology in
       pediatric patients with HIV infection and role in disease progression.
       METHODS: 53 pediatric patients with HIV infection were studied: 11
       infants born from sexually infected mothers; 42 from drug abusers;
       median age was 5 years (range 7 month-10 years). 43 of these childrens
       were classified P 2 A stage and 10 AIDS stage. Oral hygiene, dental
       decay, periodontal condition, oral lesions, teeth development degree
       were evaluated. RESULTS: oral hygiene was similar to healthy subjects
       (plaque index 1.5)--all of 50 patients with teeth, showed dental enamel
       anomaly and 38 of them (75%) large enamel and dentine subjects. Herpes
       zoster was observed in five patients (10%); CMV was observed in one
       patient (2%) pseudomembranous candidiasis in eight patients (15%). Teeth
       development (permanent teeth) was greatly delayed. CONCLUSIONS: oral
       manifestations are common in pediatric patients with HIV infection and
       can be manageable. They were found to be possible markers and predictors
       of progression in HIV infection. In particular primary care of these
       patients should include use of sealants and flouride prophylaxis
       Although these manifestations can be tested, early prophylaxis is
       needed.
 DE    AIDS-Related Opportunistic Infections/DIAGNOSIS/EPIDEMIOLOGY/
       TRANSMISSION  Child  Child, Preschool  *DMF Index  Female  Human  HIV
       Infections/*DIAGNOSIS/EPIDEMIOLOGY/TRANSMISSION  Infant
       Italy/EPIDEMIOLOGY  Male  Mouth Diseases/*DIAGNOSIS/EPIDEMIOLOGY  *Oral
       Hygiene Index  Tooth Abnormalities/*DIAGNOSIS/EPIDEMIOLOGY  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).