title: FINE NEEDLE ASPIRATION CYTOLOGY OF LYMPH NODES IN HIV INFECTED PATIENTS.
abstract: Lymphadenopathy is the commonest presentation in HIV positive individuals. Fine needle aspiration cytology of 196 HIV positive patients was studied during six monthly review. 75% paients in this study who were asymptomatic were detected to have lymphadenopathy during the surveillance. 82% had lymph nodes smaller than 1cm size. Lymphadenopathy at more than one site was observed in 46.8% cases. Commonest opportunistic infection noticed was tuberculosis (TB) in 34.2%. Cyto-morphologically reactive pattern with Add fast bacilli (AFB) positivity was observed in 16.4% of TB cases. In 2.9% cases AFB were detected even in the tissue fluid. Negative images of AFB were observed in the macrophages in 3 cases. TB was detected with equal frequency in both asymptomatic and symptomatic groups. Axillary nodes pose problem due to deeper location. False positives were a case of dermatopathic lymphadenopathy and a case of Kimura's disease. False negatives include two cases of TB lymphadenitis. Pathogens should be looked for irrespective of cyto-morphology. Biopsy should be done to confirm cases of lymphomas. Fine needle aspiration cytology should be included in the protocol of six monthly review of HIV infected cases.
authors.affiliation: Associate Professor. Department of Pathology, Pune-411 040.
authors.forename: S
authors.initials: S
authors.lastname: Satyanarayana
authors.affiliation: Reader, Department of Microbiology, Armed Forces Medical College, Pune-411 040.
authors.forename: A T
authors.initials: AT
authors.lastname: Kalghatgi
authors.affiliation: Classified Specialist (Medicine & Immunology),Bangalore - 560 007.
authors.forename: A
authors.initials: A
authors.lastname: Muralidhar
authors.affiliation: Senior Adviser (Pathology), Delhi Cantt - 110 010.
authors.forename: R S
authors.initials: RS
authors.lastname: Prasad
authors.affiliation: Classified Specialist (Pathology), Base Hospital, Delhi Cantt - 110 010.
authors.forename: K Z
authors.initials: KZ
authors.lastname: Jawed
authors.affiliation: Graded Specialist (Pathology), Command Hospital (Air Force), Bangalore - 560 007.
authors.forename: A
authors.initials: A
authors.lastname: Trehan
keywords: AIDS; FNAC; HIV; Lymph node; Tuberculosis