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HIV and chronic lung disease.

Janice M Leung1,2

  • 1Division of Respiratory Medicine, Department of Medicine.

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People with HIV (PLWH) face higher risks of chronic obstructive pulmonary disease (COPD) and lung cancer. Improved screening, treatment access, and research are crucial for better outcomes in this aging population.

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Geriatrics

Background:

  • Aging people with human immunodeficiency virus (HIV) experience increasing challenges from comorbidities.
  • Chronic lung diseases, specifically chronic obstructive pulmonary disease (COPD) and lung cancer, are prevalent in people living with HIV (PLWH).

Approach:

  • This review provides an in-depth overview of COPD and lung cancer in PLWH.
  • Analysis of current literature on the epidemiology, outcomes, and care barriers for these conditions in PLWH.

Key Points:

  • PLWH have a significantly higher risk of COPD and lung cancer compared to HIV-uninfected individuals.
  • Lung cancer rates are declining in PLWH, but survival outcomes remain poorer than in the general population.
  • Barriers to care include underdiagnosis of COPD and reduced access to lung cancer screening and treatment for PLWH.

Conclusions:

  • COPD and lung cancer pose significant health burdens for PLWH.
  • Enhanced access to standard screening and treatment is recommended.
  • Further research into optimal therapeutic strategies for PLWH with these lung conditions is needed.