Abstract

SOTO DE FACCHIN, Milagro; CASANOVA DE ESCALONA, Laddy; HOFFMANN, Ingrid  and  PUGLIESE C, Rosella. Lesiones bucales en niños VIH/Sida y su relación con linfocitos CD4 y carga viral: Valencia. Arch Venez Puer Ped [online]. 2007, vol.70, n.2, pp.47-52. ISSN 0004-0649.

Introduction: 90 % of the childrens infected with VIH-AIDS may be at increased risk of experiencing oral lesions during the course of the illness, principally at the initial stage, the most of these lesions were not associated to HIV. Objetive: To determine the oral manifestations and their relation with the percentage of lymphocytes CD4 and the viral load, in 40 children being treated for HIV-infection of the Paediatric Infection and Dentistry Service at the “Ciudad Hospitalaria Dr. Enrique Tejera.” Methods: By means of a descriptive study of field, the variables age, gender, immunological clinical category, soft and hard tissue manifestations, percentage of lymphocytes CD4, and viral load were analyzed. Results: The childrens more affected were the group of 1 to 6 years old and in feminine gender. The most frequent immunological clinical category was the B2 and the C3. In 65% there was dental caries, and in 80% soft oral lesion. The most common oral manifestation was adenopaty 57,5%, followed of candidacies 30%, and in equal proportion 17.5% aphthous ulcerations, and gingival erythema, parotid enlargement and xerostomia 12,5%, herpes oral and petechiae 10%, cheilitis 7,5%, hairy leukoplakia and gingival erythema linear 2.5%. Independently of percentage CD4 and the viral load, oral manifestations on hard tissue were recorded as much as in soft tissue. Discussion: The hard and soft weave injuries were relatively high, consequently, the urgent necessity to institutionalize preventive and therapeutic dental program, and also the education, sensibilization and motivation to parents, representatives and health personnel in the paediatric area; about the importance of oral health in HIV/AIDS children.

Keywords : children; HIV/AIDS; CD4; viral load; oral manifestations.