Endocrine disorders in Brazilian patients with acquired immune deficiency syndrome.
Acquired immunodeficiency syndrome (AIDS) was first reported in Brazil in 1980. In 1997, its incidence was 147 per million and then declined to 90 per million in 2000. Abnormalities of endocrine organ systems occur frequently in patients with AIDS. We evaluated mineralcorticoid, glucocorticoid, and thyroid hormone axes and glucose and insulin responses to a standardized oral glucose dose in healthy individuals; human immunodeficiency virus (HIV)-seropositive, asymptomatic individuals; HIV-infected patients with general lymphadenopathy, diarrhea, fever, fatigue, nocturnal sweating, and weight loss; and HIV-infected patients diagnosed with secondary infectious diseases or neoplasms. Baseline cortisol levels in the patients with AIDS were significantly higher than those in healthy control subjects. However, after adrenocorticotrophic hormone stimulation, cortisol levels were significantly lower in HIV-infected patients. Insulin concentrations were significantly higher after the glucose load in HIV-infected asymptomatic than in patients with AIDS. There were no significant differences in mineralocorticoid or thyroid function among groups.
Fontes
Rosita
R
Instituto Estadual de Diabetes e Endocrinologia Luis Capriglione, Pontifícia Universidade Católica do Rio de Janeiro, Hospital Gaffrée & Guinle, Diagnósticos da América, Medicina Diagnóstica, Laboratório Sérgio Franco, Brazil. rositafontes@ig.com.br
Vangeloti
Andréa
A
Pires
Maria Lucia
ML
Lima
Mário B C
MB
Dimetz
Trude
T
Faulhaber
Marcelo
M
Faria
Raul
R
Meirelles
Ricardo M
RM
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000378:metabolism*; D000305:Adrenal Cortex Hormones / Q000378:metabolism*; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D001938:Brazil; D004700:Endocrine System Diseases / Q000209:etiology* / Q000378:metabolism; D005260:Female; D006801:Humans; D007333:Insulin Resistance; D008297:Male; D008875:Middle Aged; D013963:Thyroid Hormones / Q000378:metabolism*
D000305:Adrenal Cortex Hormones; D001786:Blood Glucose; D013963:Thyroid Hormones