Association between motor neuron disease and HIV infection: A systematic review of case reports.

Autor:	Fernandes JPM; School of Medicine, Federal University of Uberlândia (UFU), Uberlândia, Brazil., Garcia LP; School of Medicine, Federal University of Uberlândia (UFU), Uberlândia, Brazil., Gouhie FA; School of Medicine, Federal University of Uberlândia (UFU), Uberlândia, Brazil., Pereira RC; Instituto de Neurologia Diagnóstica, Uberlândia, Brazil., Santos DFD; School of Medicine, Federal University of Uberlândia (UFU), Uberlândia, Brazil.; Postgraduate Program in Health Sciences, School of Medicine, Federal University of Uberlândia (UFU), Uberlândia, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of STD & AIDS [Int J STD AIDS] 2024 Oct 03, pp. 9564624241288283. Date of Electronic Publication: 2024 Oct 03.
DOI:	10.1177/09564624241288283
Abstrakt:	Background: Motor neuron disease (MND) is a well-known group of neurodegenerative diseases, with amyotrophic lateral sclerosis (ALS) being the most common form. Since 1985, a possible association between MND/ALS and HIV infection has been described. Methods: We performed a systematic review of case reports and case series involving people living with HIV with MND/ALS through PubMed, Bireme, Embase, and Lilacs databases. The risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tool for Case Reports. Results: We analyzed 36 articles presenting 88 cases. The mean age was 41.6 years. Antiretroviral therapy (ART) was used by 89.8% and riluzole by 16.9%. First signs and symptoms were similarly present on cervical/upper (25%) and lumbosacral/lower limbs (23.9%), mostly with fasciculations (69.8%) and hyperreflexia (58.8%). MND had a progressive course in 32.9% patients and a clinical improve in 54.6% following ART. The mean survival of the 32 patients who died was 12.3 months and the mean survival of the living patients was 62 months. Respiratory failure was the main cause of death (35.7%). Conclusions: MND/ALS may present differently in the people living with HIV as a rapidly progressive disease in younger people but with the potential to improve weakness and survival through antiretroviral therapy. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu