Document 2645
 DOCN  M94A2645
 TI    Oral manifestation and dental treatment of a patient of mother-to-child
       transmission of HIV.
 DT    9412
 AU    Kubodera T; Ikeda M; Banba S; Inoue Y; Dept. of Dentistry, Kanagawa
       Children's Medical Center, Japan.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):257 (abstract no. PB0457). Unique
       Identifier : AIDSLINE ICA10/94369930
 AB    OBJECTIVE: Currently in Japan, patients of mother-to-child transmission
       of HIV are very few, but we are concerned at the increase of HIV
       infected children, because HIV antibody positive women are increasing.
       This report is based on the dental treatment to a patient of
       mother-to-child transmission of HIV and the oral manifestation that we
       observed. CASE: The patient is a boy. He was born on July 2, 1991,
       weight of birth was 3115 g. From about two months after his birth he had
       a continuous cough, and he was admitted to hospital for pneumonia on
       Oct. 8, 1991. Due to continuing fever and abnormal shadow on chest
       X-rays, he was referred to the Dept. of Infectious disease at Kanagawa
       Children's Medical Center on Nov. 11, 1991, where he was tested to PA,
       Western blot and PCR, whereupon he was diagnosed as being HIV infected.
       Family history; Father is HIV antibody negative. Mother is HIV antibody
       positive. The first dental examination was on Sept. 22, 1993 (the
       patient was 2 years and 2 months), being referred to the Dept. of
       Dentistry by his physical doctor due to multiple tooth caries. The
       following teeth had erupted [TABULAR DATA, SEE ABSTRACT VOLUME.] All
       teeth had caries and enamel hypoplasia. He had ulcers on the soft palate
       and erythematous candidiasis on dorsum of tongue. He was very fearful of
       dental treatment, so we treated his dental caries under general
       anesthesia. Since then we have checked for oral cavity periodically.
 DE    AIDS-Related Opportunistic Infections/*DIAGNOSIS/THERAPY  Candidiasis,
       Oral/*DIAGNOSIS/THERAPY  Case Report  Child, Preschool  Dental Care for
       Chronically Ill  *DMF Index  Female  Follow-Up Studies  Human  HIV
       Infections/*DIAGNOSIS/THERAPY/TRANSMISSION  Infant  Infant, Newborn
       Male  Pregnancy  MEETING ABSTRACT

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