title: An unusual haematological presentation of the immune reconstitution inflammatory syndrome.
abstract: We describe the case of a newly diagnosed HIV-1-positive man who was noted to have asymptomatic HIV-related idiopathic (immune) thrombocytopaenic purpura. On commencing antiretroviral therapy we believe he experienced an uncommon immune reconstitution phenomenon resulting in the rapid worsening of his thrombocytopenia, requiring steroid therapy which stabilized his platelet levels.
authors.affiliation: Liverpool Centre for Sexual Health, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK. martyn.wood@nhs.net
authors.forename: M
authors.initials: M
authors.lastname: Wood
authors.forename: M
authors.initials: M
authors.lastname: Bradley
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000009:adverse effects / Q000627:therapeutic use; D006679:HIV Seropositivity / Q000097:blood / Q000188:drug therapy / Q000276:immunology*; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000097:blood / Q000139:chemically induced / Q000276:immunology*; D008297:Male; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000097:blood / Q000276:immunology* / Q000821:virology*
chemical_list: D044966:Anti-Retroviral Agents