临床实践中的绝佳模拟器:HIV 感染中的多发性单神经炎。

Q4 Medicine
Autopsy and Case Reports Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI:10.4322/acr.2024.493
José Pedro Soares Baima, Beatriz Carneiro Gondim Silva, Vanessa Lopes Vieira, Luiz Pedro Meireles, Milton Hideaki Arai, Angelina Maria Martins Lino
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引用次数: 0

摘要

艾滋病病毒感染是一种变色龙,可以模仿多种疾病。在此,我们报告了一名原本健康的 39 岁女性,在 2 个月内出现关节炎、体重减轻和弥漫性多发性单神经病变。广泛的实验室检查显示,她的艾滋病病毒血清学检测呈阳性,CD4 细胞计数为 100,神经活检结果显示坏死性血管炎与 CMV 合并感染无关,因此可以诊断为艾滋病病毒感染者的结节性多动脉炎样血管炎。除感染外,与艾滋病病毒相关的自身免疫可影响任何器官,从而使艾滋病病毒感染的临床表现更加复杂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A great simulator in clinical practice: mononeuritis multiplex in HIV infection.

HIV infection is a chameleon, mimicking several diseases. Herein, we report a previously healthy 39-year-old woman who, over 2 months, developed arthritis, weight loss, and confluent multiple mononeuropathy. Extensive laboratory investigation showed positive serology for HIV, with a CD4 count of 100 cells, and necrotizing vasculitis on a nerve biopsy not associated with CMV co-infection, allowing the diagnosis of polyarteritis nodosa-like vasculitis in an HIV-infected patient. Apart from the infection, HIV-related autoimmunity can affect any organ and contribute to the complexity of the clinical presentation of HIV infection.

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Autopsy and Case Reports
Autopsy and Case Reports Medicine-Internal Medicine
CiteScore
1.20
自引率
0.00%
发文量
60
审稿时长
9 weeks
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