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[Ophthalmologic manifestations observed in a pediatric HIV-seropositive population]
B Girard1, G Prevost-Moravia, C Courpotin
1Service d'Ophtalmologie, Hôpital Robert Ballanger, Aulnay-sous-Bois.
Insights
Pediatric AIDS patients show distinct ocular manifestations compared to adults, with retinal issues like veinous dilatation and opportunistic infections such as Ocular Toxoplasmosis being common. Regular ophthalmic screening is crucial for early detection and management of these complications in children with HIV.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Context:
- Pediatric Acquired Immunodeficiency Syndrome (AIDS) presents unique challenges in clinical manifestation.
- Ocular complications in human immunodeficiency virus (HIV)-positive children require thorough investigation.
Purpose:
- To prospectively evaluate the incidence and types of ocular involvement in children with HIV.
- To compare pediatric ocular manifestations of HIV with those reported in adult populations.
Summary:
- A two-year ophthalmologic examination of 33 HIV-positive children, 23 of whom developed AIDS, revealed lower incidence of ocular involvement than in adults.
- Retinal manifestations included venous dilatation, perivasculitis, and opportunistic infections, primarily Ocular Toxoplasmosis.
- Annexial complications such as conjunctivitis and molluscum contagiosum were also observed, alongside one case of herpetic keratitis.
Impact:
- Findings suggest that HIV manifestations in children differ significantly from adults.
- Highlights the importance of routine ophthalmic screening for early diagnosis and treatment of infectious ocular complications in pediatric AIDS patients.
Purpose:
HIV positive children underwent ophthalmologic examination to evaluate prospectively the incidence, and type of ocular involvement in pediatric AIDS.
Method:
Two ophthalmologists examined the children during their pediatric examination, for two years. When possible, a retinography was performed.
Results:
Among the 33 HIV positive children, 23 children developed AIDS according to CDC classification. The incidence was lower than reported in adult series. Retinal manifestations could be divided into two groups: 1. veinous dilatation and perivasculitis; 2. retinal opportunistic infections: Ocular Toxoplasmosis was the main finding. In addition we report one case of herpetic keratitis. Annexial complications were represented by conjonctivitis and molluscum contagiosum.
Conclusion:
Manifestations of HIV infection in children appears to be different from adults. We recommend ophthalmic screening in all AIDS pediatric patients to diagnose and treat the infectious complications.