Necrotizing ulcerative periodontitis: a diagnostic indicator of immunosuppression

This case report describes and discuss the significance of necrotizing ulcerative periodontitis. A wide range of oral lesions has been documented in individuals infected with the potential life-threatening human immunodeficiency virus (HIV). HIV-infected patients are at an increased risk of a unique...

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Bibliographic Details
Main Authors: Medhini Madi, Mathangi Kumar, Anupam Singh, Ravindranath Vineetha, Komal Smriti, Srikanth Gadicherla
Format: Article
Language:English
Published: Termedia Publishing House 2022-04-01
Series:HIV & AIDS Review. International Journal of HIV-Related Problems
Subjects:
Online Access:https://www.termedia.pl/Necrotizing-ulcerative-periodontitis-a-diagnostic-indicator-of-immunosuppression,106,46858,1,1.html
Description
Summary:This case report describes and discuss the significance of necrotizing ulcerative periodontitis. A wide range of oral lesions has been documented in individuals infected with the potential life-threatening human immunodeficiency virus (HIV). HIV-infected patients are at an increased risk of a unique form of periodontal disease called ‘necrotizing ulcerative periodontitis’. These lesions are the most severe form of periodontitis identified but of rare occurrence among HIV patients, with a prevalence of less than 5%. Disease progress is managed by thorough local debridement under antibiotic coverage. Here, we report a case of a 44-year-old female who reported with an extensive area of ulcerations, and necrosis of marginal gingiva, interdental papilla, and attached gingiva. Blood investigations revealed an absolute CD4+ cells count of 75 cells/mm3 and HIV-positive status. Necrotizing ulcerative periodontitis is as an indicator of underlying systemic immunosuppression. Further, the occurrence of ulcerative periodontitis led to the diagnosis of HIV in the present case.
ISSN:1730-1270
1732-2707