AIDS: otolaryngological presentation in the high-risk male homosexual

Since the Acquired Immune Deficiency Syndrome (AIDS) was first recognized in 1981 it has become a subject of increasing clinical importance. Patients with AIDS and related conditions often present with symptoms and signs in the head and neck region. This paper presents the experience of a joint consultation service run between the Departments of Otolaryngology and Venereology at St Mary's Hospital and discusses the clinical features seen in this group of patients. Statistical indicators predict a large increase in the number of cases of AIDS seen in the United Kingdom and the presentation of at-risk patients, particularly homosexuals, to otolaryngologists outside specialized centres is likely to occur with increasing frequency. A knowledge of the modes of presentation and the precautions necessary in undertaking operative treatment of otolaryngological conditions will therefore become mandatory.