ABSTRACT Background: Oral manifestations may be the first signs of hematologic diseases, and may occur due to the disease itself or to treatment. Objective: To evaluate the frequency and types of oral conditions presented by patients on a hematology ward. Methods: Data were collected by oral examinations during weekly visits to a hematology ward. Six trained dentists performed the oral assessment based on the principles of oral semiology. All patients who accepted to be examined were included in the study. Patients who were unavailable or unable to have oral examinations were excluded. Data were recorded on protocol forms and in the electronic records of the institution. A descriptive analysis was performed. Results: Seventy-nine patients were included in the analysis; 50.6% were female and the mean age was 41.49 years. The most common reasons for hospitalization were chemotherapy and complications (81%), relapse (13.9%) and pre-transplant preparation (5%). The most frequent underlying diseases were multiple myeloma (17.7%), acute myeloid leukemia (15.4%) and acute lymphocytic leukemia (11.5%). Oral conditions were found in 36 (45.6%) patients, some of whom presented more than one condition. The most common oral conditions were dry lips (12.6%), mucositis (10.1%), petechiae (8.9%) and candidiasis (7.6%). Of the detected oral conditions, 56.9% were related to the underlying disease or chemotherapy and 20.2% were not related to the disease. Conclusion: This study shows the types and frequency of oral conditions observed in hematological inpatients. Awareness of these conditions is important for prevention and planning the care of patients with hematological diseases.

Abstract Oral complications of RA may include temporomandibular joint disorders, mucosa alterations and symptoms of dry mouth. The aim of this study was to evaluate the salivary gland function of subjects with rheumatoid arthritis (RA) comparing it to healthy controls. Subjects with other systemic conditions known to affect salivary functions were excluded. A questionnaire was applied for the evaluation of xerostomia. Resting and chewing-stimulated salivary flow rates (SFR) were obtained under standard conditions. There were 145 subjects included of the study (104 RA and 38 controls). About 66.7% of the RA subjects and 2.4% in control group presented xerostomia. The median resting SFR were 0.24 ml/min for RA subjects and 0.40 mL/min for controls (p = 0.04). The median stimulated SFR were 1.31 mL/min for RA subjects and 1.52 ml/min for controls (p = 0.33). No significant differences were found between resting and stimulated SFR of RA subjects not using xerogenic medications and controls. There was significantly higher number of subjects presenting hyposalivation in the RA group than among controls, even when subjects using xerogenic medications were eliminated from the analysis. In conclusion, hyposalivation and xerostomia were more frequent among RA subjects not using xerogenic medication than among controls, although there were no significant differences in the median SFR between groups.

Abstract BACKGROUND: Lichen planus is considered to be the most common dermatological disease involving the oral mucosa. OBJECTIVE: To investigate the profile, clinical features, and the presence of dysplasia and candidiasis in patients with oral lichen planus. METHODS: A total of 21 patients were selected from 258 patients at risk for oral cancer development. RESULTS: Most of the patients were white (76,2%), female (66,6%), with mean age of 58.8 years. Eight were smokers and seven were alcohol consumers. The buccal mucosa was the most affected site, followed by the tongue and the gingiva. The reticular pattern was the most common appearance. Histopathology depicted dysplasia in nine cases and cytopathology was positive for Candida in eight cases in the first appointment. CONCLUSION: Our data are similar to the literature. Cytopathology was important for the diagnosis of candidiasis. Although the presence of dysplasia was verified, further studies are necessary to clarify the importance of this finding.

Em virtude da grande demanda por proteína de origem animal, tem-se aumentado a produção de frangos de corte e consequentemente a geração de resíduos provenientes do abate de aves, sendo necessário o desenvolvimento de técnicas que permitam o aproveitamento e reciclagem desses materiais. Objetivou-se com a execução deste trabalho avaliar a eficiência da compostagem no tratamento e reciclagem do resíduo sólido de abatedouro avícola. Utilizou-se resíduo sólido de abatedouro avícola comercial composto por fragmentos de vísceras, tecido muscular, adiposo e ósseo, sangue coagulado e penas e, como fonte de carbono, a casca de arroz. Montou-se uma leira com 1,5m3 de volume inicial, na qual foram monitorados os parâmetros: temperatura, teores de sólidos totais (ST), voláteis (SV), N, P, K, carbono orgânico (C), matéria orgânica compostável (MOC), matéria orgânica resistente à compostagem (MORC), demanda química de oxigênio (DQO), massa e volume enleirados, número mais provável (NMP) de coliformes totais e termotolerantes, bem como suas reduções durante o processo. A temperatura máxima atingida no centro da leira foi de 53,3ºC (média semanal), já as reduções de massa de ST e SV e volume durante o processo de pré-compostagem foram de 36,1; 44,3 e 23,3%, respectivamente, e, durante o processo de compostagem, foram de 21,8; 23,8 e 4,4%. A baixa redução do volume das leiras pode estar associada à alta concentração de MORC (40,1%) que pode ser principalmente relacionada à qualidade da fonte de carbono. O processo promoveu satisfatórias reduções totais de ST, SV e volume, sendo, respectivamente, 50,1; 57,5 e 26,7%. No entanto, foram observadas reduções de 43% na quantidade de nitrogênio presente no composto final. Apesar das reduções de nitrogênio, a compostagem demonstrou ser um método eficiente no tratamento dos resíduos sólidos de abatedouro avícola.

The great demand for animal protein was responsible for the increase on the broilers production and hence, the generation of waste from the poultry slaughter was increased as well, which in turn, propelled the development of techniques that allow the reuse and recycling of these wastes. The objective of this study was to evaluate the efficiency of composting on the treatment and recycling of solid waste from poultry slaughterhouse. The solid waste was from a commercial poultry slaughterhouse and was composed of viscera, muscle, fat, bone, blood and feathers that was mixed with a source of carbon, rice husk. Initially, a windrow with a volume of 1.5m3 was built, and then some parameters were monitored: temperature, total solids (TS), volatile (VS), N, P, K, organic carbon (C), composting organic matter (COC), organic matter resistant to composting (MORC), chemical oxygen demand (COD), mass and volume of the windrow, most probable number (MPN) of total and fecal coliforms, as well as their reductions during the process. The maximum temperature reached in the center of the windrow was 53.3°C (weekly average) since reductions of weight of TS and VS and volume during the pre-composting were 36.1, 44.3 and 23.3%, respectively and during the composting process was 21.8, 23.8 and 4.4%. The low volume reduction can be associated with high concentrations of MORC (40.1%) which can be mainly related to the quality of the carbon source. The process produced satisfactory total reductions of TS, VS and volume that were respectively, 50.1, 57.5 and 26.7%. However reductions were observed in 43% of amount of nitrogen in the final compound. Despite reductions in nitrogen content, composting proved to be an effective method in the treatment of solid waste from poultry slaughterhouse.

Introdução: Espécies de Candida fazem parte da microbiota normal de indivíduos sadios, residindo como comensais. Entretanto, podem tornar-se patogênicas caso ocorram alterações nos mecanismos de defesa do hospedeiro ou comprometimento das barreiras anatômicas. A candidíase é a infecção fúngica mais frequente na mucosa oral, causada principalmente pela Candida albicans. O diagnóstico baseia-se nos aspectos clínicos e nos sintomas, em conjunto com os métodos laboratoriais. Objetivos: Avaliar a sensibilidade e a especificidade do método de Gram na identificação da Candida spp. em raspados de mucosa oral e avaliar o grau de concordância entre os métodos clínico e citopatológico no diagnóstico de candidíase oral. Material e métodos: Teste cego de 171 esfregaços, provenientes dos pacientes atendidos no Hospital Universitário Antônio Pedro da Universidade Federal Fluminense (HUAP/UFF), corados pelas colorações de Gram (n = 57), ácido periódico de Schiff (PAS) (n = 57) e Papanicolaou (n = 57). Resultados: A análise comparativa entre os métodos revelou que no PAS há maior prevalência de Candida spp. (12%) em relação ao Gram; todavia, não há diferença significativa entre os resultados. Dos casos com diagnóstico clínico de candidíase, 93% foram confirmados pela citopatologia. Conclusão: A coloração pelo Gram mostrou-se adequada, sendo necessário intensificar o treinamento do profissional para a identificação das estruturas morfológicas do fungo. Apesar de o Papanicolaou representar o método mais utilizado na rotina citopatológica para diagnóstico da candidíase, também se indica a utilização do PAS concomitantemente. Desse modo, sugere-se que o diagnóstico de candidíase seja realizado por meio de avaliação clínica associada à análise citopatológica, com base na presença de hifas e/ou pseudo-hifas.

Introduction: Candida species are part of the normal microbiota of healthy subjects, living as commensals. However, they can become pathogenic when changes in the mechanisms of host defense or disruption of anatomic barriers occur. Candidiasis is the most common fungal infection in the oral cavity, mainly caused by Candida albicans. The diagnosis is based on symptoms and clinical aspects, in association with laboratory methods. Objective: To evaluate the sensitivity and specificity of Gram’s method for Candida spp. identification in scrapes from the buccal mucosa and evaluate the degree of concordance between clinical and cytological methods in the diagnosis of oral candidiasis. Material and methods: A blind study was performed in 170 smears from patients of Hospital Universitário Antônio Pedro of Universidade Federal Fluminense (HUAP/UFF), stained by Gram (n = 57), periodic acid-Schiff (PAS) (n = 57) and Papanicolaou (Pap) (n = 57) methods. Results: The comparative analysis of the methods demonstrated a higher prevalence of Candida spp. (12%) in PAS than in Gram staining, without statistic significance. The cytology method was positive in 93% of the clinical diagnosis of candidiasis. Conclusion: Gram was an adequate method; however more intensive professional training would be necessary to identify the fungus morphological structures. Although Pap test is the most common method of routine cytopathologic examination, for candidiasis diagnosis PAS staining is also recommended. Thus, it is suggested that candidiasis diagnosis should be accomplished by clinical evaluation in association with cytopathological analysis based on the identification of hyphae and/or pseudohyphae.

Inimigos naturais são importantes para o controle de pragas em culturas agrícolas e florestais. A criação de insetos predadores em biofábricas deve ser de baixo custo para serem utilizados em programas de Manejo Integrado de Pragas (MIP). O objetivo deste trabalho foi avaliar o desenvolvimento de Podisus nigrispinus Dallas, 1851 (Heteroptera: Pentatomidae), alimentado com larvas de Tenebrio molitor Linnaeus, 1758 (Coleoptera: Tenebrionidae), criadas com as seguintes dietas: farelo de trigo, ração triturada ou peletizada para aves poedeiras e fubá de milho. Foram obtidos os parâmetros de desenvolvimento e reprodução necessários para calcular a tabela de vida do predador. Os parâmetros da tabela de vida revelaram crescimento populacional em todos os tratamentos. No entanto, a taxa líquida de reprodução (Ro) de P. nigrispinus foi menor quando alimentados com larvas de T. molitor criadas com fubá de milho, mostrando ser a alimentação menos adequada para esse predador. Por proporcionar maior número total de ovos, o farelo de trigo constituiu a melhor dieta para P. nigrispinus. Estudos sobre dietas de presas alternativas são importantes, pois podem favorecer a nutrição de inimigos naturais e, consequentemente, melhorar o desempenho das criações massais em laboratório.

Natural enemies are important for controlling pests in agricultural and forestry culture. The reproductions of predatory insects in biofactories should have low cost to be used in Integrated Pest Management Program (IPM). The objective of this study was to evaluate the development of Podisus nigrispinus Dallas, 1851 (Heteroptera: Pentatomidae) fed with Tenebrio molitor Linnaeus, 1758 (Coleoptera: Tenebrionidae). The larvae of T. molitor were created with the following diets: wheat bran, shredded or pelleted poultry feed layers and corn meal. Parameters for the development and reproduction of the P. nigrispinus were obtained. Parameters of the life table show population growth in all treatments. However, the net rate of reproduction (Ro) of P. nigrispinus was lower when they were fed with larvae of T. molitor created with corn meal, which proved to be the least adequate food for this predator. By providing a larger total number of eggs, wheat bran was the best diet for P. nigrispinus. Studies on alternative prey diets are important as they may favor the nutrition of natural enemies and, consequently, improve the performance in laboratory rearing.

Background: Chronic graft-versus-host disease is a serious complication of allogeneic hematopoietic cell transplantation, and the mouth is one of the affected sites. Objective: The aim of this study was to evaluate the oral features of this disease after hematopoietic cell transplantation. Methods: This was a cross-sectional multicenter study that enrolled patients submitted to transplantation. Oral evaluations used the National Institutes of Health criteria, salivary flow rates, and the range of mouth opening. Pain and xerostomia were evaluated through a visual analogue scale. Patients were divided into two groups based on the transplantation time (up to one year and more than one year). Results: Of the 57 evaluated recipients, 44 had chronic graft-versus-host disease: ten (22.72%) in the group with less than one year after transplantation, and 34 (77.27%) in the group with more than one year after transplantation. Lichenoid/hyperkeratotic plaques, erythematous lesions, xerostomia, and hyposalivation were the most commonly reported oral features. Lichenoid/hyperkeratotic plaques were significantly more common in patients within the first year after the transplant. The labial mucosa was affected more in the first year. No significant changes occurred in the frequency of xerostomia, hyposalivation, and reduced mouth opening regarding time after transplantation. Conclusion: Oral chronic graft-versus-host disease lesions were identified early in the course of the disease. The changes observed in salivary gland function and in the range of mouth opening were not correlated with the time after transplantation.

A adubação orgânica pode ser uma alternativa viável na produção de gramíneas forrageiras, no entanto poucas são as informações referentes às doses e à composição dos principais adubos orgânicos. O objetivo do trabalho foi verificar a influência das diferentes doses de composto orgânico produzido com dois tipos de cama de frango sobre as características produtivas, morfogênicas e estruturais de Brachiaria brizantha, cv 'Piatã'. O experimento foi conduzido em casa de vegetação em delineamento inteiramente casualizado, em esquema fatorial com parcela subdividida no tempo. As parcelas foram compostas por seis tratamentos: dois tipos compostos (cama de frango a base de cana de açúcar ou napier) em três doses (100, 200 e 300kg ha-1 equivalente N) e as subparcelas pelos quatro períodos de cortes. Os compostos foram aplicados em dose única, após o corte de uniformização, nas quantidades de: 11,36 e 11,83, 22,73 e 23,67, 34,09 e 35,50g vaso-1 para os compostos de cama de frangos a base de cana de açúcar e capim napier, respectivamente, que equivalem às doses de 100, 200 e 300kg ha-1 de N. As variáveis mensuradas foram: produção de matéria seca (PMS), taxa de aparecimento de folha (TApF), taxa de alongamento de folha (TAlF), filocrono, taxa de alongamento de pseudocolmo (TAlC), comprimento final de folha (CFF) e números de folhas verdes (NFV). Não foi observada diferença significativa entre os tipos de composto e na interação composto x dose. Dessa forma, ambos poderiam ser utilizados sem que ocorresse prejuízo no aproveitamento dos nutrientes pelas plantas avaliadas no experimento. Houve diferença significativa entre a PMS, TApF, filocrono, TAlF e TAlC, NFV e TFF em função das doses crescentes de nitrogênio, segundo um modelo linear de predição. Também foi observado efeito dos períodos de corte, em que os cortes realizados no verão apresentaram melhor desempenho sobre as características morfogênicas e estruturais.

The organic fertilizer can be a viable alternative in the production of forage grasses, however there is little information regarding doses and composition of the major organic fertilizers. The aim of this paper was to verify the influence of the different doses of organic compost produced from two types of poultry litter on the structural, morphogenetic and productive characteristics of Brachiaria brizantha cv 'Piatã'. The experiment was conducted in a greenhouse in a completely randomized design in a factorial scheme l with parcel subdivided in time. The parcels were composed by six treatments: two types of compost (poultry litter based in sugar cane and napier grass) in three doses (100, 200 and 300kg ha-1 equivalent N.) and the subparcels by the four different periods of cut. The composts were applied in a unique dose, after the uniformization cut, at the quantities: 11,36 and 11,83, 22,73 and 23,67, 34,09 and 35,50 g pot-1 for the poultry litter based in sugar cane and napier grass, respectively which are equivalent to the rates of 0, 100, 200 and 300kg ha-1 of N. The variables measured were: dry matter production (DMP), leaf appearance rate (LApR), phyllochron, leaf elongation dose (LER) and shoots elongation rate (SER), number of green leaves (NGL), final size of the leaf (FSL). No significant difference between the types of composts and in the interaction compost x doses was observed, thus, both could be used without the risk of loss in the use of the nutrients by the plants evaluated in the experiment. There was a significant difference between the DMP, LApR, phyllochron, LER, SER, NGL and FSL because of the increasing rates of nitrogen, followed by a linear model of prediction. The effect of the periods of slaughter was also observed, where the slaughters carried out in the summer presented a better performance over the morphogenetic and structural features evaluated.

Objetivou-se, com este trabalho, avaliar o processo de biodigestão anaeróbia no tratamento de efluentes de abatedouro avícola, considerando-se os TRH de 7, 14 e 21 dias, além da adição de enzima lipolítica aos substratos, nas concentrações de 0; 0,5; 1,0 e 1,5 g L-1 de carga adicionada aos biodigestores. A influência dos TRH e da adição de enzima lipolítica aos substratos foi avaliada por meio das produções de biogás e CH4, dos potenciais de produção por DQO, adicionada e removida, bem como pelas reduções dos teores de DQO, concentrações de N, P e K e dos valores de pH. Os resultados obtidos demonstraram que houve influência dos TRH (em que o TRH 7 expressou os melhores resultados, para produção semanal média de biogás, com 40,7 L, e CH4, com 32,2 L) e das concentrações de enzimas, com maiores valores de produção para os tratamentos 1,0 (24,6 L) e 1,5 g L-1 (26,2 L), que não diferiram entre si. As concentrações de enzimas de 1,0 e 1,5 g L-1 apresentaram maiores potenciais de produção de biogás (1,1 e 1,1 L g-1 de DQO adicionada, respectivamente) e metano (0,9 e 0,8 L g¹ de DQO adicionada, respectivamente), quando comparadas com as da 0,5 g L-1 (0,8 e 0,7 L g-1 biogás e CH4, respectivamente) e 0 (0,7 e 0,5 L g-1 biogás e CH4, respectivamente). As maiores remoções de DQO foram alcançadas nas concentrações de 0,5 g L-1 (83,3%) e TRH de 21 dias (74,4%). Contudo, para que haja maior eficiência na reciclagem energética, recomenda-se a utilização de concentrações de 1,0 g L-1 de efluente e tempo de retenção hidráulica de 7 dias.

The objective of this study was to evaluate the process of anaerobic digestion treatment of poultry slaughterhouse wastewater, considering hydraulic retention time (HRT) of 7, 14 and 21 days, plus the addition of lipolytic enzyme to the substrates at concentrations of 0; 0.5; 1.0 and 1.5 g L-1 charge added to the digesters. The influence of HRT and the addition of lipolytic enzyme to the substrates was evaluated by biogas production and CH4 production potentials for COD (chemical oxygen demand) added and removed as well as by reductions in the levels of COD, concentrations of N, P and K and pH values. The results showed that there was influence of HRT (HRT 7 in which the expressed best results, average weekly production of biogas with 40.7 L-1 and 32.2 L-1 CH4) and concentrations of enzymes with higher production values to treatments 1.0 (24.6 L) and 1.5 g L-1 (26.2 L), which did not differ. The enzyme concentrations of 1.0 and 1.5 g L-1 showed the largest potential for biogas production (1.1 and 1.1 g L-1 of COD added, respectively) and methane (0.9 and 0.8 g1 L COD added, respectively), compared with 0.5 g L-1 (0.8 and 0.7 g L-1 biogas and CH4 respectively) and 0 g L-1 (0.7 and 0.5 g L-1 biogas and CH 4, respectively). The highest COD removals were achieved at concentrations of 0.5 g L-1 (83.3%) and HRT of 21 days (74.4%). However for there to be a more efficient energy recycling, it is recommended to use concentrations of 1.0 g L-1 effluent and hydraulic retention time of seven days.

The prevalence of HIV-related oral lesions may vary according to socioeconomic status and antiretroviral therapy, among other factors. This study's intent was to evaluate the association between socioeconomic indicators, CD4+ counts and HIV-related oral lesions in the city of Rio de Janeiro, RJ, Brazil. A retrospective epidemiological analysis was performed of the medical records of HIV-positive patients that attended the Federal University of Rio de Janeiro between 1997 and 2004. Gender, age, mode of HIV transmission, level of education, monthly familial income, CD4+ counts and HIV-related oral lesions were assessed. For statistical analysis, the Chi-square test was used with a level of significance of 5%. 254 medical records were reviewed: 83 women and 171 men. Monthly familial income below 2 minimum wages was associated with a higher prevalence of pseudomembranous candidiasis (p = 0.024), while income above 10 minimum wages was associated with a higher prevalence of salivary gland disease (p = 0.021). Lower socioeconomic status was associated with lower CD4+ counts (p = 0.017). In this study, an association was noted between socioeconomic status, immune suppression and prevalence of oral lesions. However, further studies are warranted using other socioeconomic variables in order to better assess this relationship.

A leucoplasia pilosa oral (OHL) é uma infecção oportunista causada pelo Vírus Epstein-Barr (EBV) encontrada em pacientes infectados pelo HIV. É uma lesão assintomática que tem um importante valor prognóstico na AIDS. Diferentemente de pacientes adultos, a OHL tem sido descrita na literatura como tendo uma prevalência muito pequena em pacientes pediátricos. Logo, o objetivo deste estudo foi investigar a prevalência da OHL em pacientes pediátricos positivos para o HIV através do uso da citopatologia. A amostra consistiu-se de 120 pacientes, que foram submetidos a exame oral e coleta de material de ambos os lados da língua. O critério diagnóstico foi baseado na identificação de alterações nucleares. A OHL clínica foi identificada em dois (1,67%) pacientes. A citopatologia revelou vinte casos (16,7%) de OHL subclínica. Nossos resultados mostram que a prevalência de OHL em pacientes pediátricos infectados pelo HIV deve ser maior que a relatada na literatura.

Oral hairy leukoplakia (OHL) is an EBV (Epstein-Barr virus) opportunistic infection found in HIV-infected patients. It is an asymptomatic lesion that has an important prognostic value in AIDS. Differently from what takes place with HIV adult patients, OHL has been described in the literature as having a very small prevalence in pediatric patients. Therefore, the aim of this study was to investigate the prevalence of OHL in HIV pediatric patients using cytopathology. The sample consisted of 120 patients who were submitted to oral examination and had material scraped from both sides of their tongues. The diagnostic criterion was based on the identification of nuclear alterations. Clinical OHL was identified in two (1.67%) patients. The cytopathology revealed twenty (16.7%) cases of subclinical OHL. Our results show that in pediatric patients the prevalence of OHL may be larger than that described in the literature.

A infecção pelo Strongyloides stercoralis em associação com imunosupressão pode manifestar-se com lesões em múltiplos órgãos e sistemas, caracterizando a forma disseminada da doença. Lesões cutâneas não são freqüentemente relatadas e, se presentes, manifestam-se como rash e petéquias. Púrpuras bem definidas são pouco descritas. No presente trabalho é descrito um caso de estrongiloidíase disseminada, com acometimento cutâneo em forma de púrpura, que se desenvolveu em um paciente timectomizado e usuário crônico de corticosteróide devido à miastenia gravis.

The association of systemic corticosteroid therapy and dissemination of Strongyloides stercoralis has been increasingly documented in the literature. Skin involvement in disseminated strongyloidiasis has been reported and the most commonly described cutaneous manifestations are rash and petechial eruptions. We present a case of an immunosuppressed man that developed disseminated strongyloidiasis with extensive purpura.

O carcinoma adenóide cístico (CAC) é neoplasia maligna de glândula salivar que acomete principalmente as glândulas parótidas, as submandibulares e as salivares acessórias, sendo raro nas glândulas sublinguais. Com crescimento lento e natureza infiltrativa, clinicamente apresenta-se como nódulo de consistência endurecida. O presente trabalho teve como objetivo revisar a literatura atual sobre o tema em relação aos aspectos clínicos e histopatológicos, bem como relatar um caso de CAC na região submandibular.

The adenoid cystic carcinoma (ACC) is a malignant neoplasm of salivary gland that arises preferencially in parotid glands, submandibular and minor salivary glands, but is uncommon in sublingual glands. The ACC is a slow growth and infiltrative tumour that clinically is characterized by a firm mass. The present study aims to rewiew the atually literature of the ACC in relation of clinical and histopathological features and describes a case of ACC in submandibular gland.

A leucoplasia pilosa oral (LPO) é uma das manifestações orais mais comuns na AIDS, com valor diagnóstico e prognóstico. A LPO está relacionada ao Epstein-Barr vírus (EBV), com características clínicas e histopatológicas definidas. Já existem relatos de uma fase subclínica da LPO, porém sem caracterização histopatológica. O presente trabalho teve por objetivo descrever os aspectos histopatológicos desta fase, bem como realizar uma análise comparativa entre a LPO subclínica e clínica, com a finalidade de verificar a suficiência diagnóstica dos critérios histopatológicos. Trata-se de um estudo retrospectivo de 11 casos, obtidos a partir de cinco biópsias realizadas em pacientes com lesão e da borda de seis línguas sem lesão macroscopicamente detectável, provenientes de necropsias. Foram utilizados os seguintes métodos: histopatologia, imuno-histoquímica e hibridização in situ. Os aspectos histopatológicos que caracterizaram a fase subclínica da LPO foram: ausência de paraceratose e papilomatose, acantose leve, presença de células claras e alterações nucleares (inclusão tipo Cowdry A, núcleo em "vidro fosco" e núcleo "em colar"). Houve identificação do EBV através da hibridização in situ e da imuno-histoquímica nas alterações nucleares observadas na histopatologia. Concluiu-se, com fundamentos na identificação do EBV nas alterações nucleares, que a LPO em sua fase subclínica, da mesma forma que na lesão clínica, apresenta características histopatológicas específicas e suficientes para um diagnóstico definitivo, independentemente da identificação do EBV.

Oral hairy leukoplakia (OHL) is one of the most common oral manifestations of AIDS, with diagnostic and prognostic value. OHL is associated to the Epstein-Barr virus and presents clinical and histological defined characteristics. There have already been reports about a subclinical stage of OHL, although they lacked histopathologic characterization. The present study had the aim to describe the histopathological characteristics of subclinical hairy leukoplakia, as well as to carry out a comparative analysis between clinical and subclinical OHL. For that, 11 cases were analyzed - 5 biopsies from patients who presented with the lesion and 6 samples from the borders of tongues obtained in necropsies. The histopathological findings in subclinical OHL were: absence of parakeratosis and papillomatosis, mild acanthosis, ballooning cells and nuclear alterations. In situ hybridization and immunostaining were positive for EBV in the nuclear alterations identified in the histophatological analysis. Based on the identification of EBV in the nuclear alterations, it was possible to conclude that subclinical OHL, similarly to the clinical lesion, presents histopathological features that are specific and sufficient to establish the definitive diagnosis, regardless of the identification of the virus.