TY  - CHAP
M1  - Book, Section
TI  - Acute Necrotizing Ulcerative Gingivitis
A1  - Raffanti, Stephen P.
A1  - Person, Anna K.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Acute  necrotizing  ulcerative  gingivitis  (ANUG),  also  known  as  Vincent  angina  or  trench  mouth,  is  commonly  seen  in  HIV-infected  patients.  It  is  a  distinct  and  rapidly  progressive  ulceration  typically  starting  at  the  tip  of  the  interdental  papilla,  spreading  along  the  gingival  margins,  eventually  destroying  the  periodontal  tissue.  The  triad  associated  with  ANUG  is  oral  pain,  halitosis,  and  ulcerations.  Other  signs  and  symptoms  include  “metallic  taste,”  “wooden  teeth”  sensation,  tooth  mobility,  fever,  adenopathy,  and  malnutrition.  The  cause  of  this  aggressive,  destructive  process  in  HIV  patients  is  a  polymicrobial  infection  by  oral  anaerobes  (Treponema,  Selenomonas,  Fusobacterium,  Porphyromonas,  Prevotella).  ANUG  represents  a  spectrum  of  disease  from  mild  ulcerations  to  severe  cellulitis  and  spread  of  the  infection  to  the  soft  tissues,  cheeks,  lips,  and  bones.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181057497
ER  -