title: [Serological and immunological diagnosis of HIV-1 infection. Studies of 198 infected cases].
abstract: Since 1985, a total of 4281 patients at the Department of Dermatology, University of Munich, were tested for HIV-1 antibodies. Using the ELISA test, 273 were found to be positive, of whom 198 were examined clinically. At the time of the first serological test, 76 of these 198 patients (38.4%) had no clinical symptoms, 98 (49.5%) had a lymphadenopathy syndrome, and 29 had the full-blown picture of AIDS (12.1%). The following additional tests were performed on the 198 patients: antibodies against virus envelope and core proteins, concentration of serum immunoglobulins G, A and M and beta 2-microglobulin, absolute leukocyte and lymphocyte counts, T4/T8 ratio, and intracutaneous cellular immune reaction. Antibodies against virus envelope proteins were present in all the patients. Antibodies against virus core proteins were present in 82% of patients in the latent stage, 64% of patients with the lymphadenopathy syndrome, but only 45% of those with AIDS. Clearcut deviations within the three groups were also present with respect to serum levels of IgG and beta 2-microglobulins, as well as the T4/T8 ratio and the intracutaneous reaction against recall-antigens.
authors.affiliation: Dermatologische Klinik und Poliklinik, Universität München.
authors.forename: C
authors.initials: C
authors.lastname: Schulte
authors.forename: M
authors.initials: M
authors.lastname: Meurer
authors.forename: O
authors.initials: O
authors.lastname: Braun-Falco
authors.forename: M
authors.initials: M
authors.lastname: Fröschl
authors.forename: J
authors.initials: J
authors.lastname: Ring
authors.forename: G
authors.initials: G
authors.lastname: Riethmüller
authors.forename: L
authors.initials: L
authors.lastname: Gürtler
mesh_terms: D000386:AIDS-Related Complex / Q000175:diagnosis / Q000276:immunology; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000276:immunology; D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D000917:Antibody Formation; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D005455:Fluorescent Antibody Technique; D006678:HIV / Q000276:immunology; D006679:HIV Seropositivity / Q000175:diagnosis / Q000276:immunology; D006801:Humans; D007111:Immunity, Cellular; D007118:Immunoassay; D008297:Male; D012698:Serologic Tests
chemical_list: D000914:Antibodies, Viral
vernacular_title: Serologische und immunologische Diagnostik der HIV-1-Infektion. Untersuchungen bei 198 Infizierten.