Document 2647
 DOCN  M94A2647
 TI    AIDS in odontologic pediatrics: diagnostic definition.
 DT    9412
 AU    Teles G; Perez MA; Souza I; Ferreira S; Oliveira R; Fonseca R; Bastos G;
       Dental School/NESC/IPPMG/Brazil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):257 (abstract no. PB0458). Unique
       Identifier : AIDSLINE ICA10/94369928
 AB    OBJECTIVE: AIDS in pediatric patients has risen steeply in Brazil in the
       last few years. Our objective is to derive a case definition of AIDS
       based on simple signs/symptoms commonly seen in odontologic practice.
       METHODS: A case-control study was carried out. After written consent,
       all children were submitted to a through questionnaire, aiming signs,
       symptoms, oral lesions, past diagnoses and a odontologic exam. Chart
       review was performed in order to cover any lapse during interview.
       Controls were randomly selected from outpatient clinic, excluding those
       with immunosupression. RESULTS: Preliminary results shows that males had
       similar distribution (44.4%) as females. Mean age was 4.8 years; mean
       weight at birth for HIV+ children was 3,098 grams (SD = 600.5). Most
       relevant past medical history included urinary infection (24%), diarrhea
       (80%), candidiasis (16.7%), otitis (65.4%), pneumonia (60%), herpetic
       lesions (25%), anemia (75%). T4 count (< 20%) was found in 75% of HIV+
       children. Most prevalent oral manifestations included lymphadenopathy
       (34.6%) and pseudomembranous candidiasis (30%) and parotid gland
       enlargement (30%). CONCLUSIONS: Although our data is based on
       preliminary results of 60 children this is an ongoing case-control
       study, that will help to create a case definition for AIDS, to be used
       on odontological practice.
 DE    AIDS-Related Opportunistic Infections/*DIAGNOSIS/EPIDEMIOLOGY  Brazil
       Child, Preschool  *Developing Countries  Female  Follow-Up Studies
       Human  HIV Seropositivity/*DIAGNOSIS/EPIDEMIOLOGY  HIV Seroprevalence
       Infant  Infant, Newborn  Male  Mouth Diseases/*DIAGNOSIS/EPIDEMIOLOGY
       Support, Non-U.S. Gov't  MEETING ABSTRACT

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