title: [Pulmonary manifestations in HIV-infected patients: a diagnostic approach].
abstract: The spectrum of pulmonary diseases that can affect human immunodeficiency virus (HIV)-infected patients is wide and includes both HIV and non-HIV-related conditions. Opportunistic infections and neoplasms remain a major concern even in the current era of combination antiretroviral therapy. Although these diseases have characteristic clinical and radiological features, there can be considerable variation in these depending on the patient's CD4 lymphocyte count. The patient's history, physical examination, CD4 count and chest radiograph features must be considered in establishing an appropriate diagnostic algorithm. In this article, we propose different diagnostic approaches HIV infected to patients with respiratory symptoms depending on their clinico-radiological pattern.
authors.affiliation: Service de pneumologie, hôpital Tenon, université P&M Curie, AP-HP, 4, rue de la Chine, 75970 Paris, France; Service de maladies infectieuses et tropicales, hôpital Bichat-Claude-Bernard, université Denis-Diderot, AP-HP, Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Ferrand
authors.affiliation: Service de pneumologie, hôpital Tenon, université P&M Curie, AP-HP, 4, rue de la Chine, 75970 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Crockett
authors.affiliation: Service de pneumologie, hôpital Tenon, université P&M Curie, AP-HP, 4, rue de la Chine, 75970 Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Naccache
authors.affiliation: Service de maladies infectieuses et tropicales, hôpital Bichat-Claude-Bernard, université Denis-Diderot, AP-HP, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Rioux
authors.affiliation: Service de pneumologie, hôpital Tenon, université P&M Curie, AP-HP, 4, rue de la Chine, 75970 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Mayaud
authors.affiliation: Service de maladies infectieuses et tropicales, hôpital Bichat-Claude-Bernard, université Denis-Diderot, AP-HP, Paris, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Yazdanpanah
authors.affiliation: Service de pneumologie, hôpital Tenon, université P&M Curie, AP-HP, 4, rue de la Chine, 75970 Paris, France. Electronic address: jacques.cadranel@tnn.aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Cadranel
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D000465:Algorithms; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D003948:Diagnostic Techniques, Respiratory System; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D015497:HIV-1 / Q000502:physiology; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000276:immunology; D011020:Pneumonia, Pneumocystis / Q000000981:diagnostic imaging / Q000188:drug therapy; D013902:Radiography, Thoracic
chemical_list: D044966:Anti-Retroviral Agents
keywords: CD4 count; Chest radiograph; Diagnostic approach; Démarche diagnostique; HIV; Manifestations respiratoires; Radiographie thoracique; Respiratory manifestations; Taux de CD4; VIH