HIV-associated primary pulmonary hypertension: a first case report in Thailand and literature review.
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.
Chuesakoolvanich
Kittisak
K
Department of Medicine, Surin Hospital, Surin 32000, Thailand. chuesakool@yahoo.com
Boonsawat
Watchara
W
Mootsikapun
Piroon
P
Kiatchousakun
Songsak
S
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
D000925:Anticoagulants; D000959:Antihypertensive Agents; D004110:Diltiazem