When do the initial symptoms of an HIV infection start?
2-6 weeks after the initial infection
What do initial symptoms of an HIV infection resemble?
What are the symptoms of an initial HIV infection?
fever, lymphadenopathy, pharyngitis, rash on skin, muscle pain, malaise, sores in mouth and esophagus
Is category A, for HIV/AIDS infection asymptomatic or symptomatic?
What puts a person in category A for HIV/AIDS infection?
only exhibit flu-like symptoms
Is category B, for HIV/AIDS infection asymptomatic or symptomatic?
What puts a person in category B for HIV/AIDS infection?
conditions are linked to HIV infection or indicate a defect in cell-mediated immunity
Is category C, for HIV/AIDS infection asymptomatic or symptomatic?
What puts a person in category C for HIV/AIDS infection?
one or more of the 26 conditions for AIDS
In earlier years of HIV/AIDS a person was expected to live how long?
The average life expectancy in 2006 for HIV/AIDS was how long?
Where is HIV harbored in the body?
blood, semen, vaginal secretions, breast milk
Most of the HIV/AIDS cases are found outside of where?
the United States
What are the two types of test for HIV?
checking for presence of HIV antibodies
Viral load testing
What HIV test is quickest?
viral load testing
People who are already diagnosed with HIV take which test to montior their condtion?
viral load testing
How long of a window can exist before antibodies are detectable for an HIV test?
What drug can slow down HIV replication and its damage to the immune system?
What is the first indicator of systemic illness?
Visable oral lesions are seen more often with..?
smoking, xerostomia, increased viral load, AIDS (CD4 + T cell count < 200)
What medication can be given to help HIV/AIDS patients with xerostomia?
Pilocarpine (stimulate siliva production)
fluoride rinses are also recommended
What happens to your salivary glands when infected with HIV?
salivary glands enlarge; resulting in, cyst formation, infection, malignancy, xerostomia
Is HIV+ salivary gland englargement painful?
Is HIV+ salivary gland enlargement unilateral or bilateral?
What are aphthous ulcers AKA?
What is the most common oral ulceration?
Are aphthous ulcers painful?
Where are aphthous ulcers located?
soft movable tissues in mouth
unless its caused by trauma
What do aphthous ulcers exsist as?
minor aphthous ulcers
majory aphthous ulcers
herpetiform aphthous ulcers
What is a minor aphthous ulcer?
most common, up to 1 cm
yello-white with red halo
single or multiple lesions
anterior of the mouth
What are major aphthous ulcers?
larger than 1cm
posterior of the mouth
What are herpetiform aphthous ulcers?
very small and resemble herpes virus ulcerations
How long does healing take for aphthous ulcers?
What can be used to treat aphthous ulcers?
topical corticosteroids such as kenalog in Orabase
What prescriptions can be used to treat aphthous ulcers?
Debacterol- acids applied for 5 seconds in an office;
Miracle mix or ulcer paste
What are OTC treatments for aphthous ulcers?
Bland diet, supplements, salt water and baking soda rinse, orabase Sooth-n-seal, Rincinol by butler, Gly Oxide gel
What is the first oral manifestation of HIV?
What are the characteristics of candidiasis?
burning and altered taste
What are the most common forms of candidal infections?
Acute and chronic atrophic
What does Erythematous candidiasis look like?
red lesion across soft tissues
Which form of candidiasis is most strongly associated with HIV?
What can erythematous candidiasis arise from?
chronic pseudomembraneous candidiasis
What does pseudomembraneous candidiasis look like?
white curd-like surface that can be wiped off,
Where is pseudomembraneous candidiasis found?
buccal mucosa, tongue, soft palate
How is pseudomembraneous candidiasis caused?
How do you treat pseudomembraneous candidiasis?
topical antifungal medication for 2 weeks
How does chronic hyperplastic candidiasis form?
from chronic situations such as diabetes, HIV, dentures, poor OH, xerostomia
What does chronic hyperplastic candidiasis look like?
white patch that you can't wipe off,
dorsum of tongue, palate, buccal mucosa, labial commissures
What is the treatment for chronic hyperplastic candidiasis?
biopsy and topical antifungals
What is angular cheilitis AKA?
What is the believed cause of angular cheilitis?
mixed infection of candida albicans and staphylococcus aureus
Who is most commonly seen with angular cheilitis?
women, denture wearers, after age 50
What is the treatment for angular cheilitis?
use preventive measures, topical antifungal, antibiotic, supplements
What are the viral infections associated with HIV/AIDS?
Human Herpes Virus
Human Papilloma Virus
What does hairy leukoplakia look like?
raised, corrugated, poorly distinguished
white lesion on border of tongue
can't be rubbed off
Is hairy leukoplakia commonly unilateral or bilateral?
Is hairy leukoplakia asymptomatic or symptomatic?