title: HIV-associated primary pulmonary hypertension: a first case report in Thailand and literature review.
abstract: A 32-year-old woman had asymptomatic HIV infection diagnosed with primary pulmonary hypertension simultaneously. She presented after a three-month rapid progression of symptoms and hemodynamic change. Physical examination and laboratory findings were compatible with pulmonary hypertension. No sensible cause could be found for the pulmonary hypertension except the HIV seropositivity; therefore, HIV-associated primary pulmonary hypertension was diagnosed. She was treated with diltiazem and oral anti-coagulation. After four months, her functional status improved from a NYHA functional class of II to I and improved in right venticular function. Since HIV is epidemic, the authors recommend HIV testing in cases of primary pulmonary hypertension.
authors.affiliation: Department of Medicine, Surin Hospital, Surin 32000, Thailand. chuesakool@yahoo.com
authors.forename: Kittisak
authors.initials: K
authors.lastname: Chuesakoolvanich
authors.forename: Watchara
authors.initials: W
authors.lastname: Boonsawat
authors.forename: Piroon
authors.initials: P
authors.lastname: Mootsikapun
authors.forename: Songsak
authors.initials: S
authors.lastname: Kiatchousakun
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D004110:Diltiazem / Q000627:therapeutic use; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013785:Thailand
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents; D004110:Diltiazem