eISSN: 1732-2707
ISSN: 1730-1270
HIV & AIDS Review. International Journal of HIV-Related Problems
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SCImago Journal & Country Rank
2/2022
vol. 21
 
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abstract:
Case report

Necrotizing ulcerative periodontitis: a diagnostic indicator of immunosuppression

Medhini Madi
1
,
Mathangi Kumar
1
,
Anupam Singh
2
,
Ravindranath Vineetha
1
,
Komal Smriti
1
,
Srikanth Gadicherla
2

1.
Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India
2.
Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India
HIV AIDS Rev 2022; 21, 2: 175-178
Online publish date: 2022/04/13
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This case report describes and discuss the significance of necrotizing ulcerative periodontitis. A wide range of oral lesions has been documented in individuals infected with the potential life-threatening human immunodeficiency virus (HIV). HIV-infected patients are at an increased risk of a unique form of periodontal disease called ‘necrotizing ulcerative periodontitis’. These lesions are the most severe form of periodontitis identified but of rare occurrence among HIV patients, with a prevalence of less than 5%. Disease progress is managed by thorough local debridement under antibiotic coverage. Here, we report a case of a 44-year-old female who reported with an extensive area of ulcerations, and necrosis of marginal gingiva, interdental papilla, and attached gingiva. Blood investigations revealed an absolute CD4+ cells count of 75 cells/mm3 and HIV-positive status. Necrotizing ulcerative periodontitis is as an indicator of underlying systemic immunosuppression. Further, the occurrence of ulcerative periodontitis led to the diagnosis of HIV in the present case.
keywords:

AIDS virus, human immunodeficiency virus, immunosuppression diagnoses, highly active antiretroviral therapy

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