抄録
A number of manifestations of systematic oppor tunisticinfections are found in patients infected with the human immunodeficiency virus (HIV). Further more, there are many symptoms involving the oral cavity. We examined the records of 200 HIV-infected patients who had been treated during the last 15 years in our department. We report the results of a clinical survey of HIV infected patients and the relationship between symptoms and CD4 lymphocyte counts.
Oral candidiasis is the most common oral manifes tationand was found in 93 cases (47%) and xerosto miain 43 cases (22%), recurrent aphthous stomatitis in 32 cases (16%), and oral hairy leukoplakia (OHL) in 23 cases (12%). There were also 10 cases with thrombocytopenic purpura, 9 with Kaposi's sarcoma, 8 with herpes simplex, each 6 with hyperpigmentation and linear gingival erythema, and 5 each with necrotizing ulcerative gingivitis and salivary gland enlargement, and 3 each with ulceration NOS (not otherwise specified), herpes-zoster and neurologic disturbances. Averege CD4 lymphocyte count in 67 asymptomatic cases was 426.4/μl, but in cases with 1 symptom the count decreased to 227.2/μl, then in those with 2 symptoms it was 165.1/μl, in those with 3 symptoms, it fell to 85.6/μl, in those with 4 symptoms to 74.7/μl, while in those with 5 or more symptoms to 15/μl. Thus, the more symptoms they had, the lower the average CD4 lymphocyte count became.
