By Nancy E. Lane (auth.), Nancy E. Lane (eds.)
In Aids allergic reaction and Rheumatology, medical specialists survey the newest details to be had at the key rheumatic and allergic matters that physicians face in treating the HIV-infected sufferer. Their articles specialize in the rheumatologic and dermatologic manifestations of HIV-1 an infection, which come with arthritis, myopathies, vasculitis, sicca syndrome, different autoimmune phenomena, and psoriasis. additionally they learn the query of allergies in HIV sufferers, together with drug hypersensitive reaction, with distinct recognition given to hostile reactions to trimethoprim-sulfamethoxazole, the main often prescribed anti-infective. useful recommendation for the prognosis and remedy of those difficulties is given in complete.
Aids hypersensitivity and Rheumatology deals physicians a finished advisor to the analysis and remedy of the allergic, immunologic, and rheumatic issues in HIV sufferers. Authoritative and practice-oriented, the booklet is destined to turn into a customary source for all these treating AIDS sufferers today.
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Additional resources for AIDS Allergy and Rheumatology
Infections with fungi or mycobacteria invariably often require longer periods of antimicrobial therapy. Patients with septic arthritis should have an arthrocentesis with complete drainage of the joint performed once or twice a day as long as the synovial fluid seems to reaccumulate after the arthrocentesis. The synovial fluid should be checked for a cell count daily. A daily decrease in the synovial fluid white blood count usually indicates satisfactory treatment of septic arthritis. 38 Kaye If the synovial fluid white blood count does not continue to decrease on a daily basis or if closed-needle aspiration does not provide complete drainage of the synovial fluid, surgical drainage of the infected joint fluid either by arthroscopy or by open arthrotomy should be considered (34).
Anec- Rheumatologic Manifestations 33 dotal reports suggest that hydroxychloroquine fails to ameliorate the symptoms in this condition (15). At least two patients with Reiter's syndrome and AIDS benefited from treated with etretinate (18,19). Virtually every HIV-infected patient who has been treated with methotrexate for Reiter's syndrome or psoriatic arthritis has contracted Pneumocystis carinii pneumonia or Kaposi's sarcoma, shortly after the institution of the methotrexate (8,11,20). There are, however, three reports of successful treatment with methotrexate of psoriatic arthritis in HIV-infected patients without the development of opportunistic infections (21,22).
Hurt, M. , Fein, C. , Nunes, W. , McPhaul, L. , Hemdier, B. , Reyes, G. , Fry, K. , and McGrath, M. S. (1994), Blood 83, 1067-1078. 76. , Schettino, E. , Steger, T. , Knowles, D. , and Casali, P. (1994), Blood 83, 2952-296l. 77. , Schettino, E. , Steger, T. , Knowles, D. , and Casali, P. (1995), Ann. NY Acad. Sci. 764,509-518. Rheumatologic Manifestations of HIV Infections Brian R. Kaye Clinical Assistant Professor of Medicine, Stanford University School of Medicine, University of California at San Francisco, CA; and The Arthritis Center Medical Group, 3010 Colby Street, Suite 118, Berkeley, CA 94705 Introduction The clinical manifestations of human immunodeficiency virus (HIV) infections are myriad.
AIDS Allergy and Rheumatology by Nancy E. Lane (auth.), Nancy E. Lane (eds.)