Tenosynovitis as a possible feature of immune reconstitution syndrome during highly active antiretroviral treatment (HAART)

被引:3
作者
Rivoisy, Claire [1 ]
Jaureguiberry, Stephane [1 ,2 ]
M'Bappe, Pauline [2 ,3 ]
Gibeault, Matthieu [4 ]
Bonnard, Philippe [1 ]
Pialoux, Gilles [1 ]
机构
[1] Hop Tenon, AP HP, Serv Malad Infect & Trop, F-75970 Paris, France
[2] Univ Paris 06, Hop La Pitie Salpetriere, AP HP, Serv Malad Infect & Trop, F-75013 Paris, France
[3] Hop Tenon, AP HP, Serv Med Interne, F-75970 Paris, France
[4] Hop Tenon, AP HP, Serv Radiol, F-75970 Paris, France
关键词
Synovitis; Immune reconstitution syndrome; HAART; AIDS; IMMUNODEFICIENCY-VIRUS-INFECTION; INFLAMMATORY SYNDROME; PROTEASE INHIBITORS; THERAPY; DISEASE; COMPLICATIONS; RESTORATION; MANAGEMENT; ERA;
D O I
10.1016/j.jbspin.2009.01.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An immune reconstitution syndrome (IRS) occurs in between 10% and 25% of patients starting highly active antiretroviral treatment (HAART). A 49-year-old patient presents a tenosynovitis 6 weeks after HAART initiation. In our patient, exhaustive tests for infectious, inflammatory and drug-related causes of tenosynovitis were negative. The improvement obtained with high-dose Non-steroidal anti-inflammatory-drug (NSAID) therapy and the patient's immunovirologic profile, supported a diagnosis of tenosynovitis associated with immune reconstitution, a form of IRS that has not previously been described. This original case increase the broad spectrum of inflammatory rheumatologic disorders associated with HIV infection. (C) 2009 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:550 / 552
页数:3
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