Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case
Hirofumi KatoAkifumi Imamura
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JOURNALS OPEN ACCESS

2017 Volume 56 Issue 16 Pages 2223-2227

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Abstract

We herein report the case of a 41-year-old Japanese man with well-controlled HIV who presented with diagnostically difficult acute necrotizing ulcerative gingivitis (ANUG). After diet-induced weight loss, he developed oral pain and disturbance of mouth opening, and was admitted to our hospital. Based on preconceptions of HIV-associated diseases, fluconazole was initiated for candidiasis. However, no improvement was seen and ANUG was finally diagnosed. This case suggests that physicians should consider ANUG in HIV-infected individuals when several risk factors are present, even if CD4+ T-lymphocyte counts have remained stable owing to long-term anti-retroviral therapy.

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© 2017 by The Japanese Society of Internal Medicine
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