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Erythematous candidiasis: early clinical manifestation in HIV-reactive patients.

Cahn P, Casariego Z, Perez H, Casiro A, Grinberg N, Muchinik G; International Conference on AIDS.

Int Conf AIDS. 1989 Jun 4-9; 5: 470 (abstract no. Th.B.P.326).

Hospital Fernandez, Buenos Aires, Argentina

OBJECTIVE: To evaluate Erythematous Candidiasis (EC) in asymptomatic HIV-reactive patients (aHIV Pt). METHODS: Clinical follow-up and stomatological control of 105 aHIV Pt was made during 8 months. Dental-eye photograph was taken and culture performed for those lesions suspected of BC. Nystatin and/or gentian violet were administered locally to confirmed cases, while severe ones were treated orally with Ketoconazole. RESULTS: EC shows as a diamond-like reddish spot (72%) or as "patches" (28%) in the median and back rash before the papillae vellate, causing disappearance of filiform papillae (58% of the cases), in the hard palate (49%), in the soft palate (42%) and in the jugal mucosa (12%). More than 1 site was found in 65 Pt. Only 3 Pt showed evolution towards pseudomembranous candidiasis 8 months later. CONCLUSION: EC was the only clinical manifestation found in the 105 aHIV Pt studied. Early diagnosis may be useful as an early clinical marker; likewise, early treatment may delay evolution towards pseudomembranous candidiasis, which involves greater severity.

Publication Types:
  • Meeting Abstracts
Keywords:
  • AIDS Vaccines
  • Acquired Immunodeficiency Syndrome
  • Candidiasis, Oral
  • HIV Infections
  • HIV Seropositivity
  • Humans
  • Ketoconazole
  • Nystatin
Other ID:
  • 00243389
UI: 102178336

From Meeting Abstracts




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