Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
|
|
 |  |
 |
 |
Oral Conditions
Oct 19, 1999
Do you know of any patients who developed what appeared to be oral problems in the first few weeks after first being exposed to HIV and not respond to any treatments? I developed what appeared to be thrush 3 weeks after the exposure and it is only on the center and back of the tongue. It is fuzzy and a yellow/white color. The doctor tested it for yeast and it came back negative. I was on treatments of Nizoral, Dyflucan, and Nystatin(swish&swollow) none of these effected the condition. Brushing of the tongue multiple times a day also doesnt help. Also the the inside of my mouth all the skin pigment has turned white. Not the surface but below as it doesnt scrape off. Also All the veins are very close to the surface like vericose veins and the skin on the inside seems to shed and peel very thin layers once a week or so. I have also had an increase in canker sores and blisters. Should I be concerned this is an early onset of aggressive HIV as its so soon after the exposure and did not respond to the antifungal drugs? Could another condition be causing this that is unrelated to the HIV exposure? Thanks for your assistance as I have run out of ideas from my physician.
|
 |
|
 |
|
Response from Dr. Reznik
As all are aware, it is very difficult to diagnose any condition over the Internet; therefore for an accurate diagnosis, please visit a dentist who is experienced in oral medicine or oral pathology.
With this in mind, what you have described on your tongue sounds very much like coated or hairy tongue. Up to sixty percent of the general population cultured for Candida (the most common organism that causes thrush) have positive results; the fact that you had a negative culture would also lead me to believe that you do not have candidiasis or thrush. Another compounding factor leading me to believe you do not have thrush is that there was no change when using Diflucan, a systemic antifungal usually saved for more severe cases.
You also mention an "increase in canker sores and blisters". Again, with out the ability to see these lesions I cannot be of much help. You may be experiencing aphthous ulcers which have stress as a risk factor.. I will say that this does not sound like an aggressive case of HIV seroconversion combined with resistance to antifungals.
The best advice I can give you is to visit a dentist experienced in managing diseases of the soft tissues in the oral cavity
Take care
DR
|
|
|
 Please remember that this forum is designed for educational purposes only, and experts are not engaged through this
forum in rendering legal or medical advice or professional services. Experts appearing on this page are independent and are solely responsible
for editing and fact-checking their material. Neither The Body nor any sponsor is the publisher or speaker of posted visitors' questions or the experts' material.
Questions and messages posted to this forum are not statements of advice, opinion, or information of The Body, Body Health Resources Corporation or any sponsor of this
forum. While neither The Body nor Body Health Resources Corporation regularly reviews posted content, we reserve the right to delete, move, or
edit postings if we deem it appropriate under the circumstances. Visitors submitting questions remain solely responsible for the content of their
messages.
Information provided by experts is general only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as
legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a
health or legal problem, you should consult your own health care provider or your attorney.
Copyright notice.
|
|
|
|
