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[Two unusual ulcers in one patient].
1Afdeling Kaakchirurgie, Universitair Medisch Centrum Groningen, 9700 RB Groningen.
Nederlands Tijdschrift Voor Tandheelkunde
|September 30, 2008
Summary
A rare oral ulcer, atypical necrotising ulcerating periodontitis, was diagnosed in an HIV-positive patient. Prompt treatment, including tooth extraction, led to healing, highlighting the link between oral ulcers and immunodeficiency.
Area of Science:
- Oral Medicine
- Immunology
- Infectious Diseases
Background:
- Human Immunodeficiency Virus (HIV) infection can manifest with various oral complications.
- Oral ulcers are common in immunocompromised individuals, but specific types may indicate underlying conditions.
Observation:
- A 39-year-old woman, newly diagnosed as HIV-positive, presented with a painful buccal ulcer near her first left mandibular molar.
- The ulcer was diagnosed as atypical necrotising ulcerating periodontitis and healed after antibiotic treatment and tooth extraction.
Findings:
- The patient later developed a second, distinct ulcer on the lateral border of her tongue, diagnosed as an eosinophilic ulcer.
- Both atypical necrotising ulcerating periodontitis and eosinophilic ulcers are rare and strongly associated with immunodeficiency.
Implications:
- These cases underscore the importance of recognizing rare oral ulcerations as potential indicators of underlying immunodeficiency, such as HIV.
- Early diagnosis and management of oral manifestations in HIV-positive patients are crucial for overall health outcomes.
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