J Oral Med Pain.  2024 Sep;49(3):65-70. 10.14476/jomp.2024.49.3.65.

Oral Manifestations of Human Immunodeficiency Virus Infection: Early Diagnostic Indicators

• Kim HW
• Ahn YW
• Jeong SH
• Ok SM
• Ju HM

• KMID: 2560002
• DOI: http://doi.org/10.14476/jomp.2024.49.3.65

Abstract

This paper highlights the importance of oral manifestations as indicators for early human immunodeficiency virus (HIV) detection through two case studies. HIV, responsible for acquired immunodeficiency syndrome (AIDS), damages CD4+ T-lymphocytes, leading to severe immunosuppression and increased vulnerability to various infections. Oral lesions often appear early in HIV infection and can signal disease progression. The study underscores the role of dentists in identifying these lesions, which can serve as crucial markers for HIV. We used two cases to illustrate the importance of screening in HIV patients. The first was a patient presented with oral soreness and a mass on his tongue. Despite having a positive HIV test result in a previous medical examination, but patient had intentionally concealed his infection. The second was a patient experienced dry mouth and burning sensation, with symptoms unresponsive to repeated antifungal treatments and suspected esophageal fungal infection. This led to the discovery of an HIV-positive status in a patient previously unaware of his infection. In both cases, oral manifestations played a crucial role in the early diagnosis of HIV/AIDS. These manifestations can be particularly useful for identifying HIV in patients who are asymptomatic or unaware of their status. Although oral lesions, such as oral candidiasis and oral hairy leukoplakia, are not exclusive to HIV but are more prevalent and severe in HIV-positive individuals. The findings support routine HIV screening and the critical role of dentists in recognizing oral signs of HIV infection to facilitate early diagnosis and treatment.

Keyword

Acquired immunodeficiency syndrome; Candidiasis, oral; HIV; Leukoplakia, hairy