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3.
Lepr Rev ; 73(1): 64-71, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11969128

RESUMO

The acquired immunodeficiency syndrome (AIDS) is the result of a human immunodeficiency virus (HIV) infection damaging the cell-mediated immune system. A wide range of opportunistic infections (OI) and tumours develop; additionally, HIV directly damages some organs. The patterns of opportunistic diseases (OD) are different in different parts of the world, depending on the local prevalence of latent and acquired infections and on the survival of HIV-infected patients. OD patterns change as people migrate. Recently introduced highly active anti-retroviral chemotherapy prevents many of the common OIs, but also introduces a new range of toxic pathological damage. Longer survival permits development of new HIV-related diseases. The pathology of HIV/AIDS is not static but changing.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Infecções por Mycobacterium/diagnóstico , Infecções por Mycobacterium/epidemiologia , Adulto , Criança , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/epidemiologia , Feminino , Humanos , Incidência , Masculino , Fatores de Risco , Sarcoma de Kaposi/diagnóstico , Sarcoma de Kaposi/epidemiologia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/epidemiologia , Análise de Sobrevida , Reino Unido/epidemiologia
4.
Curr Opin Neurol ; 7(5): 398-401, 1994 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7804459

RESUMO

Infective neuropathies encompass neuropathies that are among the most common in the world. Retroviral infection, which includes infection with the human immunodeficiency virus, has now spread worldwide. This virus is responsible for a number of disabling peripheral neuropathies, either from the immune reaction that follows penetration of the virus into nervous system of the host, or by opportunistic infection secondary to the major cellular immunodeficit induced by gradual destruction of lymphocytes bearing the CD4 antigen on their surface. In the other class of retroviruses, human T lymphotrophic viruses (HTLV), which are responsible for the HTLV-I-associated myelopathy or tropical spastic paraparesis, peripheral nerve involvement and inflammatory myopathy are less common and milder than in HIV infection. Leprosy continues to pose problems concerning the understanding of the immune mechanisms that lead to the various patterns of nerve lesions encountered in this condition. Chagas' disease, which is due to infection with Trypanosoma cruzi, affects more than 15 million people in Latin America. It is accompanied by mostly subclinical peripheral nerve involvement and by cardiac manifestations from lesions of the autonomic nervous system and cardiac muscle.


Assuntos
Infecções/etiologia , Polineuropatias/etiologia , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/terapia , Doença de Chagas/diagnóstico , Doença de Chagas/terapia , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/terapia , Humanos , Infecções/diagnóstico , Infecções/terapia , Hanseníase Tuberculoide/diagnóstico , Hanseníase Tuberculoide/terapia , Linfoma Relacionado a AIDS/diagnóstico , Linfoma Relacionado a AIDS/terapia , Polineuropatias/diagnóstico , Polineuropatias/terapia , Polirradiculoneuropatia/diagnóstico , Polirradiculoneuropatia/etiologia , Polirradiculoneuropatia/terapia
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