HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample

Objective. The aim of the study was to determine the prevalence of HIV-associated oral mucosal melanin hyperpigmentation (HIV-OMH) in a specific population of HIV-seropositive South Africans and to analyse the associations between HIV-OMH clinical features and the demographic and immunological chara...

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Main Authors: R. Chandran, L. Feller, J. Lemmer, R. A. G. Khammissa
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2016/8389214
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author R. Chandran
L. Feller
J. Lemmer
R. A. G. Khammissa
author_facet R. Chandran
L. Feller
J. Lemmer
R. A. G. Khammissa
author_sort R. Chandran
collection DOAJ
description Objective. The aim of the study was to determine the prevalence of HIV-associated oral mucosal melanin hyperpigmentation (HIV-OMH) in a specific population of HIV-seropositive South Africans and to analyse the associations between HIV-OMH clinical features and the demographic and immunological characteristics of the study cohort. Material and Methods. This cross-sectional study included 200 HIV-seropositive Black subjects. The collected data comprised age, gender, CD4+ T cell count, viral load, systemic disease, medications, oral site affected by HIV-OMH, extent (localized or generalized), intensity of the pigmentation (dark or light), and smoking and snuff use. Results. Overall, 18.5% of the study cohort had HIV-OMH. Twenty-two and a half percent had OMH that could not with confidence be attributed to HIV infection, and 59% did not have any OMH. There was a significant but weak association between smoking and the presence of HIV-OMH. Conclusions. The prevalence of HIV-OMH in the study population was 18.5%, the gingiva being the most commonly affected site. It appears that the CD4+ T cell count does not play any role in the biopathology of HIV-OMH.
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spelling doaj-art-697ed0e68dd64a5d9b2b341fe43056962025-02-03T05:57:11ZengWileyAIDS Research and Treatment2090-12402090-12592016-01-01201610.1155/2016/83892148389214HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population SampleR. Chandran0L. Feller1J. Lemmer2R. A. G. Khammissa3Department of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria 0204, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria 0204, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria 0204, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria 0204, South AfricaObjective. The aim of the study was to determine the prevalence of HIV-associated oral mucosal melanin hyperpigmentation (HIV-OMH) in a specific population of HIV-seropositive South Africans and to analyse the associations between HIV-OMH clinical features and the demographic and immunological characteristics of the study cohort. Material and Methods. This cross-sectional study included 200 HIV-seropositive Black subjects. The collected data comprised age, gender, CD4+ T cell count, viral load, systemic disease, medications, oral site affected by HIV-OMH, extent (localized or generalized), intensity of the pigmentation (dark or light), and smoking and snuff use. Results. Overall, 18.5% of the study cohort had HIV-OMH. Twenty-two and a half percent had OMH that could not with confidence be attributed to HIV infection, and 59% did not have any OMH. There was a significant but weak association between smoking and the presence of HIV-OMH. Conclusions. The prevalence of HIV-OMH in the study population was 18.5%, the gingiva being the most commonly affected site. It appears that the CD4+ T cell count does not play any role in the biopathology of HIV-OMH.http://dx.doi.org/10.1155/2016/8389214
spellingShingle R. Chandran
L. Feller
J. Lemmer
R. A. G. Khammissa
HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
AIDS Research and Treatment
title HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
title_full HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
title_fullStr HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
title_full_unstemmed HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
title_short HIV-Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample
title_sort hiv associated oral mucosal melanin hyperpigmentation a clinical study in a south african population sample
url http://dx.doi.org/10.1155/2016/8389214
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