CORE--CLINICAL AND LABORATORY

临床/实验室核心的牙科和医学临床医生

The dental and medical clinicians of the Clinical/Laboratory Core will see all patients referred by the San Francisco epidemiology cohorts and validate diagnoses. From these referrals and other sources of patient referrals, they will continue to build clinical cohorts of patients with specific oral lesions in order to analyze their repationship to the development of AIDS and to other markers/predictors. They will obtain biopsies and other samples for the studies in Projects 2 and 3 from well-characterized patients with the oral lesions being studied. The core staff will be responsible for clinical research pateints records, for speciment handling and storage and for getting speciments to Projects 2 and 3 investigators. They will stain smears and sections, handled samples and biopsy tissue speciments, maintain pathology and other clinical laboratory data, perform in situ hybridization for Epstein-Barr virus to confirm the diagnosis of hairy leukoplakia. Projects 2 and 3 will be using Core B for transmission electron microscopy and electron cytochemistry. The Clinical/Laboratory Core investigators will continue to study the clinical and pathological features of the oral manifestation of HIV infection and, in conjunction with Project 1, 2 and 3 investigators, will continue to report new features and to explore their etiology, pathogenesis and response to therapy. Part of the responsibilities of the investigators in the Cores and the Projects will be to continue to document and publish such new findings and to conceive and test new hypotheses concening this fascinating and challenging group of diseases.