Tenosynovitis as a possible feature of immune reconstitution syndrome during highly active antiretroviral treatment (HAART)
Autor: | S. Jauréguiberry, Matthieu Gibeault, Pauline M’Bappe, Philippe Bonnard, Claire Rivoisy, Gilles Pialoux |
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Rok vydání: | 2008 |
Předmět: |
CD4-Positive T-Lymphocytes
Male Anti-HIV Agents Indomethacin Human immunodeficiency virus (HIV) Gadolinium HIV Infections CD8-Positive T-Lymphocytes medicine.disease_cause Broad spectrum Immune system Rheumatology Acquired immunodeficiency syndrome (AIDS) Synovitis Antiretroviral Therapy Highly Active Antiretroviral treatment medicine Humans Inflammation Acquired Immunodeficiency Syndrome Tenosynovitis business.industry Anti-Inflammatory Agents Non-Steroidal Middle Aged Viral Load medicine.disease Radiography Immunology HIV-1 business |
Zdroj: | Joint bone spine. 76(5) |
ISSN: | 1778-7254 |
Popis: | 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. |
Databáze: | OpenAIRE |
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