HIV and the brain.

Liz Highleyman
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Abstract

Right from the early years of the epidemic, researchers have recognized that HIV can affect the brain. Before effective antiretroviral therapy (ART), people with AIDS were susceptible to a variety of opportunistic infections of the brain, as well as HIV-related dementia. With the advent of effective combination ART in the mid-1990s, the prevalence of both conditions declined dramatically in areas with widespread access to treatment. Less severe neurocognitive impairment, however, remains common. In fact, some research indicates that the frequency of HIV-related neurological impairment is rising as people with HIV live longer.

艾滋病毒和大脑。
早在艾滋病流行的早期,研究人员就已经认识到艾滋病毒会影响大脑。在有效的抗逆转录病毒治疗(ART)之前,艾滋病患者很容易受到各种机会性大脑感染,以及与艾滋病毒相关的痴呆。随着20世纪90年代中期有效联合抗逆转录病毒治疗的出现,在广泛获得治疗的地区,这两种疾病的患病率急剧下降。然而,不那么严重的神经认知障碍仍然很常见。事实上,一些研究表明,随着艾滋病毒感染者寿命的延长,与艾滋病毒相关的神经损伤的频率正在上升。
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