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Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case.

Unexpected Acute Necrotizing Ulcerative Gingivitis in a Well-controlled HIV-infected Case.
Author Information (click to view)

Kato H, Imamura A,


Kato H, Imamura A, (click to view)

Kato H, Imamura A,

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Internal medicine (Tokyo, Japan) 2017 08 0156(16) 2223-2227 doi 10.2169/internalmedicine.8409-16

Abstract

We herein report the case of a 41-year-old Japanese man with well-controlled HIV who presented with diagnostically difficult acute necrotizing ulcerative gingivitis (ANUG). After diet-induced weight loss, he developed oral pain and disturbance of mouth opening, and was admitted to our hospital. Based on preconceptions of HIV-associated diseases, fluconazole was initiated for candidiasis. However, no improvement was seen and ANUG was finally diagnosed. This case suggests that physicians should consider ANUG in HIV-infected individuals when several risk factors are present, even if CD4+ T-lymphocyte counts have remained stable owing to long-term anti-retroviral therapy.

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