Artículo

Rosemffet, M.G.; Padulo, L.A.; Stockhamer, D.; Piovano, C.; Da Representacao, S.; Meregalli, M.A.; Maldonado Cocco, J.A. "Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders" (1996) Journal of Clinical Rheumatology. 2(3):125-128
Estamos trabajando para incorporar este artículo al repositorio
Consulte el artículo en la página del editor
Consulte la política de Acceso Abierto del editor

Abstract:

This study involved 50 human immunodeficiency virus (HIV)-positive patients in various stages of the disease to identify signs and symptoms suggestive of rheumatologic disorders and to determine how frequently such findings mimic rheumatologic pictures. Control subjects were 25 ambulatory HIV-negative patients with similar risk factors, mostly drug abuse. Although arthralgias and myalgias were reported in both groups, arthritis was only detected in the HIV-positive group. Twenty-four HIV cases presented two or more signs or symptoms suggestive of rheumatic disorders versus only six non- HIV cases (p < 0.04). Some features were suggestive of systemic lupus erythematosus, vasculitis-panarteritis nodosa, Sjogren's syndrome, Behcet's syndrome and rheumatoid arthritis, although no patients met criteria for these diseases. Reiter's syndrome was diagnosed in two (4%) HIV-positive patients. On correlating CD4 lymphocyte levels and rheumatic symptomatology, the more severely immunocompromised cases were found to present musculoskeletal manifestations with greater frequency. Potential HIV infection should be considered in differential diagnosis of questionable cases of rheumatic disease to avoid both misdiagnosis and the institution of therapies liable to worsen the immunodeficiency syndrome.

Registro:

Documento: Artículo
Título:Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders
Autor:Rosemffet, M.G.; Padulo, L.A.; Stockhamer, D.; Piovano, C.; Da Representacao, S.; Meregalli, M.A.; Maldonado Cocco, J.A.
Filiación:Sect. of Rheumatology and Laboratory, Inst. Munic. Rehabilitacion P., Buenos Aires, Argentina
Department of Infectology, Hospital Evita de Lanús, Buenos Aires, Argentina
Sección Reumatología, Inst. Munic. de Rehabilitacion, Echeverría 955, 1428-Buenos Aires, Argentina
Palabras clave:Human immunodeficiency virus; Mimicry; Reiter's syndrome; Rheumatic disorders; adolescent; adult; arthralgia; arthritis; article; clinical article; clinical examination; controlled study; female; human; Human immunodeficiency virus infection; lymphocyte count; male; myalgia; priority journal; rheumatology
Año:1996
Volumen:2
Número:3
Página de inicio:125
Página de fin:128
DOI: http://dx.doi.org/10.1097/00124743-199606000-00003
Título revista:Journal of Clinical Rheumatology
Título revista abreviado:J. CLIN. RHEUMATOL.
ISSN:10761608
CODEN:JCRHF
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10761608_v2_n3_p125_Rosemffet

Referencias:

  • Espinoza, L., Retrovirus associated rheumatic syndromes (1993) Arthritis and Allied Conditions, 12th Ed., pp. 2087-2100. , McCarty D, Koopman W, editors. Philadelphia: Lea & Febiger
  • Winchester, R., Berstein, D., Fischer, H., Encow, R., Solomon, G., The co-occurrence of Reiter syndrome and acquired immunodeficiency (1987) Ann Intern Med, 106, pp. 19-26
  • Winchester, R., AIDS and the rheumatic diseases (1990) Bull Rheum Dis, 39, pp. 1-10
  • Calabrese, L., Human immunodeficiency virus (HIV) infection and arthritis (1993) Rheum Dis Clin North Am, 19, pp. 477-1188
  • Berman, A., Espinoza, L., Diaz, J., Rheumatic manifestations of human immunodeficiency virus infection (1988) Am J Med, 85, pp. 59-64
  • Espinoza, L., Berman, A., Aguilar, J., Gutierrez, F., Vasey, F., Germain, B., Rheumatic manifestations associated with human immunodeficiency virus infection (1989) Arthritis Rheum, 32, pp. 1615-1622
  • Muñoz Fernandez, S., Cardenal, A., Balsa, A., Rheumatic Manifestations in 556 patients with human immunodeficiency virus infection (1991) Semin Arthritis Rheum, 21, pp. 30-39
  • Calabrese, L., The rheumatic manifestations of infection with the human immunodeficiency virus (1989) Semin Arthritis Rheum, 18, pp. 225-239
  • Calabrese, L., Estes, M., Yen Lieberman, B., Systemic vasculitis in association with human immunodeficiency virus infection (1989) Arthritis Rheum, 32, pp. 569-576
  • Solinger, A., Hess, E., Rheumatic diseases and AIDS: Is the association real? (1993) J Rheumatol, 20, pp. 678-683
  • Pitchenik, A., Fertel, D., Tuberculosis and non-tuberculous mycobacterial disease (1992) Med Clin of North Am, 76, pp. 121-171
  • Johns, D.R., Tierney, M., Felsenstein, D., Alteration in the natural history of neurosyphilis by concurrent infection with the human immunodeficiency virus (1987) N Engl J Med, 316, pp. 1569-1572
  • Burgoyne, M., Agudelo, C., Pisko, E., Chronic syphilitic polyarthritis mimicking systemic lupus erythematosus/rheumatoid arthritis as the initial presentation of human immunodeficiency virus infection (1992) J Rheumatol, 19, pp. 313-315
  • Espinoza, L.R., Berman, A., Vasey, F., Cahalin, C., Nelson, R., Germain, B., Psoriatic arthritis and acquired immunodeficiency syndrome (1988) Arthritis Rheum, 31, pp. 1034-1040
  • Gherardi, R., Belec, L., Mhiri, C., The spectrum of vasculitis in immunodeficiency virus infected patients: A clinicopathologic evaluation (1993) Arthritis Rheum, 36, pp. 1164-1174
  • Gresh, J., Aguilar, J., Espinoza, L.R., Human immunodeficiency virus (HIV) infection associated dermatomyositis (1989) J Rheumatol, 16, pp. 1397-1398
  • Itescu, S., Brancato, L., Buxbaum, I., Sjögren syndrome associated with HIV infection (1988) Arthritis Rheum, 31, p. 535
  • Medina Rodriguez, F., Guzman, C., Jara, L., Rheumatic manifestations in human immunodeficiency virus positive and negative individuals: A study of 2 populations with similar risk factors (1993) J Rheumatol, 20, pp. 1880-1884
  • Berman, A., Reboredo, G., Spindler, A., Lasala, E., Lopez, H., Espinoza, L.R., Rheumatic manifestations in populations at risk for HIV infection: The added effect of HIV (1991) J Rheumatol, 18, pp. 1564-1567
  • Rivera, J., Monteagudo, L., Lopez Longo, I., Sanchez Atrio, A., Septic arthritis in patients with acquired immunodeficiency virus infection (1992) J Rheumatol, 19, pp. 1960-1962
  • Sergent, J., Lockshin, M., Christian, C., Gocke, D., Vasculitis with hepatitis B antigenemia: Long term observation in nine patients (1976) Medicine, 67, pp. 354-359. , Baltimore
  • Agnello, V., Chung, R., Kaplan, L., A role for hepatitis C virus infection in type II cryoglobulinemia (1992) N Engl J Med, 27, pp. 1490-1495
  • Inman, R., Rheumatic manifestations of hepatitis B infection (1982) Semin Arthritis Rheum, 11, pp. 406-420
  • Duffy, J., Lidsky, M., Sharp, J., Polyarthritis, polyarteritis and hepatitis B (1976) Medicine, 55, pp. 19-37. , Baltimore
  • Espinoza, L.R., Aguilar, J., Espinoza, C., HIV associated arthropathy: HIV antigen demostation in synovial membrane (1990) J Rheumatol, 17, pp. 1195-1201
  • Ricciardi, D., Sepcowitz, D., Becowitz, L., Bienenstock, H., Maslow, M., Cryptococcal arthritis in a patient with acquired immunodeficiency syndrome. Case report and review of the literature (1986) J Rheumatol, 13, pp. 455-458
  • Dalakas, M., Illa, J., Pezeshkpoor, G., Laukaitis, J., Cohen, B., Griffin, J., Mitochondrial myopathy caused by long term zidovudine therapy (1990) N Engl J Med, 322, pp. 1098-1105
  • Helbert, M., Fletcher, T., Peddle, B., Harris, J., Pinching, A., Zidovudine associated myopathy (1988) Lancet, 2, pp. 689-690

Citas:

---------- APA ----------
Rosemffet, M.G., Padulo, L.A., Stockhamer, D., Piovano, C., Da Representacao, S., Meregalli, M.A. & Maldonado Cocco, J.A. (1996) . Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders. Journal of Clinical Rheumatology, 2(3), 125-128.
http://dx.doi.org/10.1097/00124743-199606000-00003
---------- CHICAGO ----------
Rosemffet, M.G., Padulo, L.A., Stockhamer, D., Piovano, C., Da Representacao, S., Meregalli, M.A., et al. "Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders" . Journal of Clinical Rheumatology 2, no. 3 (1996) : 125-128.
http://dx.doi.org/10.1097/00124743-199606000-00003
---------- MLA ----------
Rosemffet, M.G., Padulo, L.A., Stockhamer, D., Piovano, C., Da Representacao, S., Meregalli, M.A., et al. "Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders" . Journal of Clinical Rheumatology, vol. 2, no. 3, 1996, pp. 125-128.
http://dx.doi.org/10.1097/00124743-199606000-00003
---------- VANCOUVER ----------
Rosemffet, M.G., Padulo, L.A., Stockhamer, D., Piovano, C., Da Representacao, S., Meregalli, M.A., et al. Human immunodeficiency virus infection: Search for musculoskeletal manifestations and mimicking of rheumatologic disorders. J. CLIN. RHEUMATOL. 1996;2(3):125-128.
http://dx.doi.org/10.1097/00124743-199606000-00003