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Immunodeficiency Diseases

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Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
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Quantification of Cerebral Vascular Architecture using Two-photon Microscopy in a Mouse Model of HIV-induced Neuroinflammation
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Vasculitides in HIV Infection.

Luis E Vega1, Luis R Espinoza2

  • 1Section of Rheumatology, Air Force Central Hospital, AramburĂș Ave 2nd block, Lima, Peru. luisenvega@gmail.com.

Current Rheumatology Reports
|August 27, 2020
PubMed
Summary
This summary is machine-generated.

Vasculitis remains rare in HIV-positive patients, presenting a spectrum from mild to severe conditions. Early recognition is crucial for appropriate treatment, including potential immunosuppression.

Keywords:
HIV infectionKawasaki-like syndromeLarge-vessel vasculitisPolyarteritis nodosaVasculitides

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Area of Science:

  • Immunology
  • Rheumatology
  • Infectious Diseases

Background:

  • Vasculitis is uncommon in human immunodeficiency virus (HIV)-infected individuals, particularly in the post-highly active antiretroviral therapy (HAART) era.
  • Histopathological studies reveal distinct features in HIV-positive patients, such as leukocytoclastic vasculitis affecting the vasa vasorum and adventitial inflammation in large arteries.
  • HIV-positive patients with large vessel vasculitis (LVV) may experience more vascular complications and poorer outcomes compared to HIV-negative counterparts.

Purpose of the Study:

  • To comprehensively review the range of vasculitides observed in HIV-infected patients.
  • To identify specific clinical characteristics that help diagnose vasculitis in individuals with HIV.

Main Methods:

  • Literature review of epidemiological studies and retrospective cohort studies.
  • Analysis of histopathological findings in HIV-positive patients with vasculitis.
  • Comparison of clinical outcomes between HIV-positive and HIV-negative patients with vasculitis.

Main Results:

  • Vasculitis is a rare but significant condition in HIV-positive individuals.
  • Distinct histopathological findings differentiate vasculitis in HIV-positive patients.
  • HIV-positive patients with LVV may have a less favorable response to antiretroviral therapy and worse prognosis.

Conclusions:

  • Vasculitis in HIV-infected patients encompasses a broad spectrum of disease severity.
  • Timely diagnosis and recognition of vasculitis in HIV-positive individuals are essential.
  • Management may necessitate immunosuppressive therapies in addition to antiretroviral treatment.