재발성 아프타성 궤양으로 치료 중 후천성 면역결핍증으로 판명된 1예

More than 90% of persons with HIV (Human Immunodeficiency Virus) infection will have at least one oral manifestation at some time during the course of their disease. Frequently, the oral manifestations of HIV disease are the first indication of HIV infection or are markers for progression to AIDS (Acquired Immunodeficiency Syndrome). Left untreated, oral disease can cause odynophagia and dysphagia, which may result in weight loss, dehydration and malnutrition. The prevention and treatment of oral disease in AIDS patients is important in maintaining nutritional status, quality of life and in preventing more serious complications. In Korea, the prevalence of AIDS is very low but, has been increasing constantly, so otolaryngologist should be able to recognize such oral manifestations of HIV infection to provide for timely diagnosis and institution of treatment. We experienced a 42-year-old male patient who was proved AIDS during treatment for recurrent and painful oral cavity ulcers. So, we report this case with the literature. (J Clinical Otolaryngol 2004;15:154-157)