口腔内病変が診断の契機となったHIV感染症の1例

HIV infection with oropharyngeal lesions：a case report

はじめに

　HIV（human immunodeficiency virus）感染症では，皮膚や性器に病変がなく，真菌・細菌・ウイルス感染症やカポジ肉腫や非ホジキンリンパ腫などの新生物など，特徴的な口腔・咽頭の病変・症状で発症し，それが診断の契機となる例が少なくない。今回，われわれは口腔咽頭カンジダ症がHIV感染症の診断の契機となった症例を経験したので報告する。

　In otolaryngology field, it is common for HIV infection to develop without lesions on skin or genitalia but with characteristic oral and pharyngeal lesions and symptoms which result in its diagnosis. A 33-year-old man visited our department with pharyngalgia and pyrexia. As the findings consistent with oral candidiasis HIV infection was suspected, and early diagnosis was made. Some patients may hesitate early consultation, so early and certain diagnosis are important. When relapsed and refractory oral/pharyngeal lesions are noted in men in ago of 20s to 30s, we should consider HIV infection.