Libanore M, Merighi A, Bicocchi R, Scagliarini R, Gamberini S, Ghinelli F; International Conference on AIDS.
Int Conf AIDS. 1992 Jul 19-24; 8: 100 (abstract no. PuB 7311).
Dpt Infectious Diseases, S. Anna Hospital Fe, Italy.
OBJECTIVE: To analyze clinical and endoscopic features of GI upper tract disease in patients (pts) infected with HIV admitted to Department of Infectious Diseases of Ferrara (Italy). METHODS: From January 1988 to December 1991, 92 HIV infected pts 66 males and 26 females with a mean age of 29 yrs (range 22-48), 35 AIDS and 67 LAS/ARC with GI symptoms were evaluated. They were 80 IVDA, 6 homosexuals, 5 heterosexuals and 1 hemophiliac. The CD4+ cells count was 158/cu mm (range 14-481). Oesophagogastroduodenoscopy with histologic examinations, cultures of biopsies and oesophageal brushing were performed in all patients. RESULTS: Candida esophagitis (CE) was diagnosed in 30 pts (32.6% In 26 pts (27.9%) CE was the presenting criterion of AIDS. Were also detected: two herpes esophagitis, two CMV esophageal infection, two gastritis by cryptosporidium, two gastric lymphomas, one gastric Kaposi's sarcoma and one duodenal atypical mycobacteriosis with Whipple-like histology. In 42.4% cases aspecific lesions, esophageal varicosities, peptic ulcerations, chronic esophagitis were observed. CONCLUSIONS: About 70% of patients infected with HIV shows GI upper tract lesions: 43.4% are opportunistic infection and HIV-related neoplasias. The endoscopy is necessary for AIDS diagnosis and the recognition of distinctive lesions for a proper patients management.
Publication Types:
Keywords:
- AIDS-Related Complex
- Acquired Immunodeficiency Syndrome
- Endoscopy, Digestive System
- Esophageal Diseases
- Esophagitis
- Female
- Gastritis
- HIV Infections
- HIV Seropositivity
- Humans
- Italy
- Male
Other ID:
UI: 102201067
From Meeting Abstracts