[HIV infection among type A and B hemophiliacs].

Autor: Vicariot M; Centre de Traitement de l'hémophilie, CHR de Brest., Fressinaud E, Fiks M, Fonlupt J, Berthier AM, Guerois C, Fimbel B
Jazyk: francouzština
Zdroj: Revue francaise de transfusion et d'hemobiologie : bulletin de la Societe nationale de transfusion sanguine [Rev Fr Transfus Hemobiol] 1993 Oct; Vol. 36 (5), pp. 417-26.
DOI: 10.1016/s1140-4639(05)80154-6
Abstrakt: Evolution of HIV infection was studied in 480 hemophiliacs A and 78 hemophiliacs B treated in the "Centre-West" Region. 23.3% hemophiliacs A and 46.1% hemophiliacs B were contaminated by HIV. In this region, HIV seroprevalence in hemophiliacs A was lower than the prevalence noted at the national level (51.2%); this is certainly due to the use of frozen cryoprecipitates in the treatment of a high number of hemophiliacs A. A higher number of hemophiliacs B developed the disease: 12.5% hemophiliacs A versus 22% hemophiliacs B. Moreover hemophilic B patients had a more rapid evolution towards the disease since 6 out of 14 hemophiliacs A and 7 out of 8 hemophiliacs B with AIDS died. The fact that hemophiliacs B were significantly older than hemophiliacs A might be one of the reasons, but it must be noted that the contamination often occurred earlier in hemophiliacs B and was perhaps more important. The more severe evolution in the hemophiliac B group noted in our region is not found in American studies, which may be due to the different ways of preparing Factor IX concentrates in France and the United States.
Databáze: MEDLINE