Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T12:03:17.635Z Has data issue: false hasContentIssue false

Head and neck manifestations during HIV infection

Published online by Cambridge University Press:  29 June 2007

L. Barzan*
Affiliation:
Division of Otolaryngology, Ospedale Civile of Pordenone and Centra di Riferimento Oncologico, Aviano (Italy)
M. Tavio
Affiliation:
Division of Medical Oncology and AIDS, Centro di Riferimento Oncologico, Aviano (Italy)
U. Tirelli
Affiliation:
Division of Medical Oncology and AIDS, Centro di Riferimento Oncologico, Aviano (Italy)
R. Comoretto
Affiliation:
Division of Otolaryngology, Ospedale Civile of Pordenone and Centra di Riferimento Oncologico, Aviano (Italy)
*
L.Barzna, M.D., Division of Otolaryngology, Ospedale Civile, via Montereale 24, 33170 Pordenone, Italy

Abstract

The ENT manifestations of HIV infection are well known and the findings in AIDS patients have been described, nevertheless there are no reports of the frequency of head and neck involvement during the various stages of the disease. From 1987 to 1991, 210 HIV positive patients had ENT evaluation without symptomsrelated selection. The majority of them were men and intravenous drug users. The frequency of enlarged neck nodes, neck mass, nasopharyngeal lymphatic tissue hypertrophy, extranodal localization of non-Hodgkin's lymphomas, Kaposi's sarcoma, oral hairy leukoplakia, candidiasis and other less common findings is reported, in relation to the stage of the disease. Overall 84 percent of the observed patients had head and neck manifestations.An ENT evaluation in every HIV infected patient is suggested.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barzan, L., Carbone, A., Tirelli, U., Crosato, I. M, Vaccher, E., Volpe, R., Comoretto, R. (1990) Nasopharyngeal lymphatic tissue in patients infected with Human Immunodeficiency Virus. A prospective clinicopathologic study. Archives of Otolaryngology—Head and Neck Surgery, 116: 928931.CrossRefGoogle ScholarPubMed
Brahim, J. S., Katz, R. W., Roberts, M. V. (1988) Non-Hodgkin's lymphoma of the hard palate mucosa and buccal gingiva associated with AIDS. Journal of Oral and Maxillofacial Surgery, 46: 328330.CrossRefGoogle ScholarPubMed
Centers for Disease Control, US Dept. of Health and Human Services (1986) Classification system for Human T Lymphotrophic Virus type III'Lymphadenopathy. Morbidity and Mortality Weekly Report, 30: 305308.Google Scholar
Corey, J. P., Seligman, I. (1991) Otolaryngology problems in the immuno compromised patient–anevolving natural history. Otolaryngology—Head and Neck Sugery, 104: 196203.CrossRefGoogle Scholar
EEC Clearinghouse on Oral Problems Related to HIV Infection and WHO Collaborating Centre on Oral Manifestation of the Human Immunodeficiency Virus (1991) An update of the classification and diagnostic criteria of oral lesions in HIV infection. Journal of Oral Pathology and Medicine, 20: 97100.CrossRefGoogle Scholar
Ficarra, G., Gaglioti, D., Di Pietro, M., Adler-Storthz, K. (1991) Oral hairy leukoplakia: clinical aspects, histologic morphology and differential diagnosis. Head and Neck, 13: 514521.CrossRefGoogle ScholarPubMed
Finfer, M. D., Schinella, R. A., Rothstein, S. G., Persky, M. S. (1988) Cystic parotid lesions in patients at risk for the Acquired Immunodeficiency Syndrome. Archives of Otolaryngology—Head and Neck Surgery 114: 12901294.CrossRefGoogle ScholarPubMed
Gehanno, P., Uguen, A., Saimot, A. G., Leplus, P., Moisy, N., Depondt, J., Guedon, C. (1988) Le sarcome de Kaposi buccopha rynge au cours du SIDA. Les Annales d'Otorhinolaryngologie (Paris), 105: 453457.Google Scholar
Goldstein, J., Rubin, J., Becker, N., Moser, E., Silverstein, M., Davis, L. (1991) Lymphoma of the maxillary sinus in a patient with Human Immunodeficiency Virus type 1. Head and Neck, 13: 355358.CrossRefGoogle Scholar
Green, T. L., Eversole, L. R. (1989) Oral lymphomas in HIV infected patients: association with Epstein-Barr virus DNA. Oral Surgery, Oral Medicine, Oral Pathology, 67: 437442.CrossRefGoogle ScholarPubMed
Hadderingh, R. J., Tange, R. A., Danner, S. A., Eeftinck Schattenkerk, J. K. M. (1987) Otorhinolaryngological findings in AIDS patients: a study of 63 cases. Archives ofOto-Rhino-Laryngology, 244: 1114.CrossRefGoogle ScholarPubMed
Herdman, R. C. D., Forster, S., Stafford, N. D., Pinching, A. J.(1989) The recognition and management of the otolaryngological manifestation of AIDS. Clinical Otolaryngology, 14: 323332.CrossRefGoogle ScholarPubMed
Huang, R. D., Pearlman, S., Friedman, A. W., Loree, T. (1991) Benign cystic vs. solid lesions of the parotid gland in HIV patients. Head and Neck, 13: 522527.CrossRefGoogle ScholarPubMed
Kaugars, G. E., Burns, J. C. (1989) Non-Hodgkin's lymphoma of the oral cavity association with AIDS. Oral Surgery, Oral Medicine, Oral Pathology, 67: 433436.CrossRefGoogle ScholarPubMed
Kohan, D., Rothstein, S. G., Cohen, N. L. (1988) Otologic disease in patients with Acquired Immunodeficiency Syndrome. Annals of Otology, Rhinology and Laryngology, 97: 636640.CrossRefGoogle ScholarPubMed
Leess, F. R., Kessler, D. J., Mickel, R. A. (1987) Non-Hodgkin's lymphoma of the head and neck in patients with AIDS. Archives of Otolaryngology—Head and Neck Surgery, 113: 11041106.CrossRefGoogle ScholarPubMed
Marcusen, D. C., Sooy, C. D. (1985) Otolaryngologic and head and neck manifestation of Acquired Immunodeficiency Syndrome (AIDS). Laryngoscope, 95: 401405.CrossRefGoogle ScholarPubMed
Meiteles, L. Z., Lucente, F. E. (1990) Sinus and nasal manifestations of the Acquired Immunodeficiency Syndrome. Ear, Nose and Throat Journal, 69: 454459Google ScholarPubMed
Newland, J. R., Adler-Storthz, K. (1989) Cytomegalovirus in intraoral Kaposi's sarcoma. Oral Surgery, Oral Medicine, Oral Pathology 67: 296300CrossRefGoogle ScholarPubMed
Pindborg, J. J. (1989) Classification of oral lesions associated with HIV infection. Oral Surgery, Oral Medicine, Oral Pathology, 67: 292295CrossRefGoogle ScholarPubMed
Roberts, M. W., Brahim, J. S., Rinne, N. F. (1988) Oral manifestations of AIDS: A study of 84 patients. Journal of American Medical Association, 116: 863866Google ScholarPubMed
Sant'Anna, G. D., Franche, G. L. S., Tabajara, L. M. V., Favero, R. M. N., Kuhl, G. (1991) Manifestations du syndrome immunodeficitaire acquis en oto-rhino-laryngologie. Revue de Laryngologie 112: 6366Google Scholar
Sperling, N. M., Lin, P. T., Lucente, F. E. (1990) Cystic parotid masses in HIV infection. Head and Neck, 12: 337341CrossRefGoogle ScholarPubMed
Stafford, N. D., Herdman, R. C. D., Forster, S., Munro, A. J. (1989) Kaposi's sarcoma of the head and neck in patients with AIDS. Journal of Laryngology and Otology, 103: 379382.CrossRefGoogle ScholarPubMed
Tunkel, D. E., Loury, M. C, Fox, C. H., Goins, M. A., Johns, M. E.(1989) Bilateral parotid enlargement in HIV-seropositive patients. Laryngoscope, 99: 590595.CrossRefGoogle ScholarPubMed