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SHR Neuro Cancer Cardio Lipid Metab Microb

Talhari, C; Mira, MT; Massone, C; Braga, A; Chrusciak-Talhari, A; Santos, M; Orsi, AT; Matsuo, C; Rabelo, R; Nogueira, L; de Lima Ferreira, LC; Ribeiro-Rodrigues, R; Talhari, S.
Leprosy and HIV Coinfection: A Clinical, Pathological, Immunological, and Therapeutic Study of a Cohort from a Brazilian Referral Center for Infectious Diseases.
J Infect Dis. 2010; 202(3):345-354 Doi: 10.1086/653839 [OPEN ACCESS]
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Co-authors Med Uni Graz: Massone Cesare
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Abstract:: Background. Although awareness of the relevance of leprosy and human immunodeficiency virus (HIV) coinfection is increasing worldwide, several aspects of this co-occurrence are not fully understood. Methods. We describe clinical, pathological, immunological, and therapeutic long-term follow-up of a cohort of 25 individuals with leprosy and HIV infection from Manaus, Amazonas. Results. Careful description of our cohort indicates a higher prevalence of leprosy in an HIV-positive population than that in the general population. We also observed upgrading shifting of leprosy clinical forms after initiation of highly active antiretroviral therapy and multidrug therapy and an impact of HIV infection on leprosy granuloma formation, among other features. Conclusion. Taken together, these new insights allow the proposition of a classification system that includes (1) leprosy and HIV true coinfection, (2) opportunistic leprosy disease, and (3) leprosy related to highly active antiretroviral therapy.
Find related publications in this database (using NLM MeSH Indexing): Adult -; Anti-HIV Agents - therapeutic use; Antiretroviral Therapy, Highly Active -; Antiretroviral Therapy, Highly Active - epidemiology; Cohort Studies -; Comorbidity -; Granuloma - pathology; HIV Infections - complications; Humans -; Leprosy - complications; Longitudinal Studies -; Male -; Middle Aged -; Prevalence -; Severity of Illness Index -; Young Adult -