AIDS is a very difficult disease to cure, and people are afraid of it in their daily lives. After AIDS occurs, patients will also have symptoms on their tongues. The following three points are the most common. 1. Candida albicans disease There are two types: erythematous and pseudomembranous. It often occurs on the upper palate and back of the tongue; white spots or plaques can sometimes be seen on the red area of the lesions. Lesions can also occur in any part of the mouth, showing up as white or yellow spots or plaques, which can be wiped off, leaving red areas accompanied by bleeding. Many epidemiological surveys have shown that oral candidiasis has a very high prevalence in HIV-infected people, and occurs at different stages of HIV infection, up to 96%. Oral candidiasis is often the first manifestation of HIV infection and is most common in oral lesions. For the vast majority of cases, it is an early sign of immunosuppression after HIV infection, indicating the possibility of other opportunistic infections. Some people believe that oral candidiasis and hairy leukoplakia can be used as indicators for the detection or prediction of AIDS. 2. Hairy leukoplakia It is a white or gray lesion that occurs on the edges of the tongue. The lesions can also extend to the belly and back of the tongue and cannot be wiped off. Hairy leukoplakia is a common oral manifestation in HIV-infected and AIDS patients, second only to candidiasis in incidence. It is also a sign of HIV-related diseases and is almost only seen in HIV-infected and AIDS patients. It has very significant specificity. Therefore, the appearance of hairy leukoplakia should be taken seriously. Periodontal disease manifests as gingival inflammation, gingival ulcers, gingival necrosis, and loose teeth, and may also cause gingival bleeding, pain, and malignant changes. It is reported that 19% to 29% of HIV-infected or AIDS patients have periodontitis. 3. Kaposi's sarcoma It appears as single or multiple red, light blue or purple plaques or lumps, with or without ulcers, first seen on the palate and gums. Kaposi's sarcoma is rare in the general population. With the prevalence of AIDS, Kaposi's sarcoma has appeared in large numbers among people at risk of AIDS. In the United States, AIDS patients are at least 20,000 times more likely to develop Kaposi's sarcoma than the general population. Among oral manifestations of HIV-infected people and AIDS patients, the prevalence of Kaposi's sarcoma is second only to candidiasis and hairy leukoplakia, and has a high incidence rate. "Some epidemiological data show that all HIV-positive people or AIDS patients, from infants to adults, can develop oral lesions. The population with the highest incidence rate is usually gay men, heterosexuals, intravenous drug users and other adults. |
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