Chirgwin K, Dillon S, DeHovitz J, Landesman SH, McCormack W; International Conference on AIDS.
Int Conf AIDS. 1989 Jun 4-9; 5: 231 (abstract no. M.B.P.57).
SUNY Health Science Center at Brooklyn, New York
OBJECTIVE: To investigate the association of genital ulcers (GU) and HIV infection in persons attending an STD clinic in Brooklyn. METHODS: Beginning 10/88, our STD clinic pts were routinely offered HIV testing. HIV risk factors were assessed by interview at the time of testing. Clinic records were available for 73 pts who underwent HIV testing and were retrospectively reviewed to determine STD diagnoses. RESULTS: 16/73 (22%) of STD clinic pts tested were HIV+. GU were present in 8/16 (50%) HIV+ pts compared with 12/57 (21%) HIV- pts (OR=3.75, p less than .03). This trend increased when those with admitted HIV risk factors (N=5) (IVDU, homosexual, sexual partner with AIDS) were excluded (OR=5.6, p less than .02). 7/8 HIV+ pts with GU were women and 5/7 of these women had no admitted HIV risk factors. The etiologies of GU in HIV+ pts were: 3 herpes simplex, 1 syphilis; the remaining 4 were not diagnosed definitely. Only one HIV+ pt admitted a history of previous GU. 5/16 (31%) HIV+ pts had greater than 1 concurrent STD's diagnosed at presentation compared with 7/57 (12%) HIV- pts (NS). CONCLUSION: We have noted an increasing incidence of GU disease in our STD clinic during the last 2 years. These data suggest that GU may be associated with HIV infection. As these pts were HIV seropositive at presentation, it is likely that acquisition of HIV infection either antedated or was coincident with their GU disease. The former possibility suggests an increased risk of GU disease in persons already HIV+, the latter suggests an increased rate of HIV transmission from sexual partners with GU disease.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Ambulatory Care Facilities
- Female
- Female Urogenital Diseases
- HIV Infections
- HIV Seropositivity
- Humans
- Sexual Partners
- Sexually Transmitted Diseases
- Stomach Ulcer
- Syphilis
Other ID:
UI: 102176910
From Meeting Abstracts