|Mouth and Tongue sores
May 22, 2003
I am a 44 year old HIV+ male who has been positive since 1993. I have been on Norvir/Saquninivir/AZT/Hivid combo since August 1996 and have been "undetectable" for virus for over six years now. My T-Cell count is in the 450-550 range consistently. I stopped smoking almost two years ago.
For the last year I have had mouth sores--almost crack like on the tongue and what looks like herpes or cold sores inside the cheek. They will go away for a few weeks, but always return. The sores are EXTREMELY painful and frustrating. I have had them checked by my internist at the University of Iowa HIV Clinic, as well as the Oto specialists at U of I. The lesions do not test for any sort of pathogen.
Anyone else have this problem or similar? Any resolutions?
| Response from Dr. Henry
You desribe what sounds like aphtous ulcers which are common in the general population and more common in HIV. In the old days ddC was a common cause of that problem among HIV+ persons on that drug. The etiology is often unclear and can't be pinned down. A sub-set of patients seem to respond to zinc lozenges or supplements in my experience. Switching off the HIVID (ddC) would be a good option as well (try tenofovir or 3TC or abacavir instead for example). KH
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