[Thoracic manifestations of AIDS (acquired immunodeficiency syndrome)].
AIDS (acquired immunodeficiency syndrome) seems to be related to human immunodeficiency virus (HIV) and is characterized by severe T-helpers lymphocyte dysfunction. Many of the AIDS patients (47-70%) develop pulmonary manifestations, both infectious and neoplastic, in the course of their disease. In the Department of Infectious Diseases of our Hospital are studied many patients HIV+. Every year 246 seropositive new patients have been discovered. Among them we have studied 25 subjects with respiratory disease, by chest radiographs; successively, according to clinical picture, we have performed thoracic computed tomography, Gallium scintigraphy, fiberoptic bronchoscopy with transbronchial biopsy (TBB), bronchoalveolar lavage (BAL); the majority of these patients (68%) had AIDS, only 28% had ARC and 4% had PGL. In our experience, the diagnosed diseases were mainly infections (92%), and most frequently (52%) due to Pneumocystis carinii, alone or in association with other etiologic agents. We have not found pathognomonic radiographic abnormalities, but chest X-ray evaluated with clinical and laboratory data, may often be useful to obtain diagnostic indications and in order to determine a more specific and aggressive diagnostic approach.
Bernasconi
A
A
Istituto di Radiologia Università, Policlinico S. Orsola-Malpighi, Bologna.
Zompatori
M
M
Chiodo
F
F
Costigliola
P
P
Ricchi
E
E
Colangeli
V
V
Canini
R
R
Gavelli
G
G
D000386:AIDS-Related Complex / Q000175:diagnosis / Q000000981:diagnostic imaging; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000293:Adolescent; D000328:Adult; D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D008223:Lymphoma / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D011014:Pneumonia / Q000175:diagnosis / Q000000981:diagnostic imaging; D011020:Pneumonia, Pneumocystis / Q000175:diagnosis / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D012514:Sarcoma, Kaposi / Q000175:diagnosis / Q000000981:diagnostic imaging; D013896:Thoracic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000000981:diagnostic imaging
Manifestazioni toraciche dell'AIDS (sindrome da immunodeficienza acquisita).