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Bilateral panuveitis in HIV-1-infected patients with CD8 lymphocytosis
D Julian De Silva1, Adanna A Obi, Suzanne M Mitchell
1Department of Ophthalmology, Chelsea and Westminster Hospital, London, UK.
Aims:
To report the presence of HIV-1-infected patients with bilateral panuveitis, CD8 lymphocytosis, and an absence of parotid involvement.
Methods:
Case series of four HIV-1-infected patients naive to antiretroviral treatment.
Results:
Four patients with symptomatic panuveitis are presented. Ocular, systemic, and investigation findings are reported. Recognised causes of panuveitis were excluded. All patients showed a clinical response to steroids and antiretroviral therapy.
Conclusions:
Symptomatic panuveitis may occur in HIV-1-infected individuals with CD8 lymphocytosis in the absence of a recognised cause. These patients have clinical features that resemble diffuse infiltrative lymphocytosis syndrome and may represent a subgroup of this syndrome.
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