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Otolaryngologic manifestations in HIV disease - clinical aspects and treatment
Authors:Fernanda Alves Sanjar  Barbara Elvina Ulisses Parente Queiroz  Ivan Dieb Miziara
Institution:1. MD. ENT, Fellow in Facial Plastic Surgery - Otorhinolaryngology Department - University of São Paulo;2. MD. ENT, Fellow in Neurotology - Otorhinolaryngology Department - University of São Paulo;3. PhD in Otorhinolaryngology - University of São Paulo Medical School; Head of the Stomatology Group - Otorhinolaryngology Department - University of São Paulo
Abstract:HIV is a pandemic infection with cases notified in almost all countries. The reported prevalence of symptoms in the head and neck is about 80%; otolaryngologists may be the first physician to see such patients. Oral manifestations are the most common, followed by neck and sinus manifestations. Otolaryngologic symptoms may be important signs of antiretroviral therapy failure. Symptoms are present in acute infections and advanced cases.ObjectiveTo describe new approaches in the past five years for the treatment of the most frequent otolaryngologic manifestations in HIV patients.MethodsSystematic reviews and case series published in English and Portuguese from January 2002 to October 2007 including the most common otolaryngology manifestations were selected.ConclusionOtolaryngologic manifestations are common and ENT specialists must be prepared to identify such cases.
Keywords:acquired immunodeficiency syndrome  aids-related opportunistic infections  anti-hiv agents  hiv  oral manifestations
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