Correlation of subclinical candidal colonization of the dorsal tongue surface with the Walter Reed staging scheme for patients infected with HIV-1

James N. Hamilton, Stevan H. Thompson, Michael J. Scheidt, Michael J. McQuade, Thomas Van Dyke, Kent Plowman

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The correlation between subclinical candidal colonization of the dorsal tongue surface and the Walter Reed staging scheme for patients positive for human immunodeficiency virus (HIV-1) antibody is reported. Of 76 cytologic smears of the dorsal tongue surface, 12 (16.2%) demonstrated subclinical colonization. The mean peripheral helper T-lymphocyte count for patients with subclinical colonization was 304 ± 226 cells/mm3 and was not significantly different from seropositive patients without colonization (411 ± 209 cells/mm3). The Walter Reed scheme for assessing progressive immunodysregulation did not significantly correlate with the presence of subclinical colonization. This study suggests a more complex pathogenesis for oral candidiasis in HIV-1-infected patients rather than a direct link to peripheral helper T-lymphocyte depletion below a count of 400 cells/mm3.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalOral Surgery, Oral Medicine, Oral Pathology
Volume73
Issue number1
DOIs
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Dentistry(all)

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