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Related Experiment Videos

Unexplained lymphadenopathy in sickle cell disease.

A J Keidan1, M D Hamon, I M Franklin

  • 1Department of Haematology, Medical School, University of Birmingham, U.K.

European Journal of Haematology
|February 1, 1988
PubMed
Summary

A previously healthy woman with sickle cell disease (SCD) developed progressive lymphadenopathy due to human immunodeficiency virus (HIV) infection. Risk factors included travel-related parenteral therapy and heterosexual contact, highlighting potential HIV risks in SCD patients.

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Section 1: medical informatics and eHealth.

Technology and health care : official journal of the European Society for Engineering and Medicine·2009

Area of Science:

  • Infectious Diseases
  • Hematology
  • Immunology

Background:

  • Sickle cell disease (SCD) is a genetic blood disorder affecting red blood cells.
  • Patients with SCD may have altered immune function, but their susceptibility to certain infections is not fully understood.
  • Progressive lymphadenopathy can indicate various underlying conditions, including infections.

Observation:

  • A previously healthy adult female with homozygous SCD presented with progressive lymphadenopathy.
  • Initial presentation mimicked other conditions, delaying the diagnosis of HIV infection.
  • Thorough patient history revealed potential risk factors for HIV exposure.

Findings:

  • The lymphadenopathy was definitively diagnosed as being caused by HIV infection.

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  • Identified risk factors included parenteral therapy and heterosexual contact during international travel.
  • This case underscores that SCD patients, even those appearing low-risk, can be susceptible to HIV.
  • Implications:

    • SCD patients require careful consideration of infectious disease risks, including HIV, especially when traveling or undergoing medical procedures abroad.
    • Healthcare providers should maintain a high index of suspicion for opportunistic infections like HIV in SCD patients presenting with unexplained symptoms.
    • Further research is needed to clarify the interplay between SCD-related immunological abnormalities and susceptibility to HIV infection.