Case Series of HIV Infection-Associated Arteriopathy: Diagnosis, Management, and Outcome Over a 5-Year period at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University

被引:6
作者
Orrapin, Saritphat [1 ]
Reanpang, Termpong [1 ]
Orrapin, Saranat [1 ]
Arwon, Supapong [1 ]
Kattipathanapong, Thanate [2 ]
Lekwanavijit, Suree [3 ]
Rerkasem, Kittipan [1 ,4 ]
机构
[1] Chiang Mai Univ, Fac Med, Dept Surg, Chiang Mai 50200, Thailand
[2] Chiang Mai Univ, Fac Med, Dept Radiol, Chiang Mai 50200, Thailand
[3] Chiang Mai Univ, Fac Med, Dept Pathol, Chiang Mai 50200, Thailand
[4] Chiang Mai Univ, Res Inst Hlth Sci, Chiang Mai 50200, Thailand
关键词
HIV infection; vasospasm; ergotism; aneurysm; HUMAN-IMMUNODEFICIENCY-VIRUS; HEMODIALYSIS ACCESS; RISK-FACTORS; ANEURYSMS; ATHEROSCLEROSIS; COMPLICATIONS; DISEASE; CYP3A4;
D O I
10.1177/1534734615598226
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Patients infected with human immunodeficiency virus (HIV) can present with 4 pathology types: drug-induced vasospasm (ergotism), arterial limb ischemia, critical limb ischemia, and aneurysm. Although these problems are common vascular problems, they result in increased morbidity and mortality in HIV-infected patients, especially aneurysm. Patients with these problems tend to be diagnosed with difficulty because of atypical symptoms and signs. Because of lack of data in treatment outcome literature, our report explores and provides information on HIV infection-related arteriopathy. There were 17 patients in our 5-year review. There was no death in patients except the aneurysm type. The survival of aneurysm patients was significantly lower than from other pathologies (P = .003). Our case series showed good short-term outcome, and patients were not at risk for less beneficial surgical procedures.
引用
收藏
页码:251 / 261
页数:11
相关论文
共 36 条
[1]  
Avihingsanon Anchalee, 2014, Top Antivir Med, V21, P165
[2]   Ergotism associated with HIV antiviral protease inhibitor therapy [J].
Baldwin, ZK ;
Ceraldi, CC .
JOURNAL OF VASCULAR SURGERY, 2003, 37 (03) :676-678
[3]  
Bereau of Epidemiology. Department of Disease Control of Thai Ministry of Public Health, 2008, SIT HIV INF THAIL 20, P2
[4]   Ergotism related to a single dose of ergotamine tartrate in an AIDS patient treated with ritonavir [J].
Blanche, P ;
Rigolet, A ;
Gombert, B ;
Ginsburg, C ;
Salmon, D ;
Sicard, D .
POSTGRADUATE MEDICAL JOURNAL, 1999, 75 (887) :546-547
[5]  
BROCK JS, 1992, J VASC SURG, V16, P904
[6]  
Cagatay A, 2009, ACTA CHIR BELG, V109, P639
[7]   A syndrome of peripheral lipodystrophy, hyperlipidaemia and insulin resistance in patients receiving HIV protease inhibitors [J].
Carr, A ;
Samaras, K ;
Burton, S ;
Law, M ;
Freund, J ;
Chisholm, DJ ;
Cooper, DA .
AIDS, 1998, 12 (07) :F51-F58
[8]   The role of immunity and inflammation in the progression of atherosclerosis in patients with HIV infection [J].
Coll, Blai ;
Parra, Sandra ;
Alonso-Villaverde, Carlos ;
Aragones, Gerard ;
Montero, Manuel ;
Camps, Jordi ;
Joven, Jorge ;
Masana, Lluis .
STROKE, 2007, 38 (09) :2477-2484
[9]   Hemodialysis access:: Influence of the human immunodeficiency virus on patency and infection rates [J].
Curi, MA ;
Pappas, PJ ;
Silva, MB ;
Patel, S ;
Padberg, FT ;
Jamil, Z ;
Durán, WN ;
Hobson, RW .
JOURNAL OF VASCULAR SURGERY, 1999, 29 (04) :608-616
[10]   Premature atherosclerosis in HIV-infected individuals - focus on protease inhibitor therapy [J].
Depairon, M ;
Chessex, S ;
Sudre, P ;
Rodondi, N ;
Doser, N ;
Chave, JP ;
Riesen, W ;
Nicod, P ;
Darioli, R ;
Telenti, A ;
Mooser, V .
AIDS, 2001, 15 (03) :329-334