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hiv disease and aids in women: current knowledge and a research agenda.the study of the clinical manifestations, progression, and outcome of human immunodeficiency virus (hiv) infection in women has begun in earnest. aids-defining diseases that are more common in women than in men include wasting syndrome, esophageal candidiasis, and herpes simplex virus disease, whereas kaposi's sarcoma is rare. non-aids-defining gynecological conditions such as vaginal candida infections and cervical pathology are prevalent among women at all stages of hiv infection. associations ...19921453325
human immunodeficiency virus as a risk factor in miscellaneous cancers.the association of malignancies, such as non-hodgkin's lymphoma and kaposi's sarcoma, with human immunodeficiency virus infection has been recognized since the beginning of the epidemic. however, an increasing number of tumors not diagnostic of acquired immunodeficiency syndrome has been described in this setting. taking into consideration that survival of patients with human immunodeficiency virus infection is increasing because of improvement of supportive care and better control of human immu ...19921457506
aids acquired by drug consumption and other noncontagious risk factors.the hypothesis that human immunodeficiency virus (hiv) is a new, sexually transmitted virus that causes aids has been entirely unproductive in terms of public health benefits. moreover, it fails to predict the epidemiology of aids, the annual aids risk and the very heterogeneous aids diseases of infected persons. the correct hypothesis must explain why: (1) aids includes 25 previously known diseases and two clinically and epidemiologically very different epidemics, one in america and europe, the ...19921492119
[bacteremia caused by non-typhoid salmonellas during an infection by the human immunodeficiency virus (hiv) in the african adult].infection caused by non-typhous salmonellae during the course of hiv infection is known since 1983. the authors report on 103 bacteremiae of this type found in one year. diagnosis has been based on hemocultures. 86 patients out of 103 were hiv+. all of them were febrile. 67 suffered from digestive disorders, 33 with diarrhoea. splenomegalia was noted in 16 cases and consciousness troubles in 13 cases. at the admission, 8 complications were observed. other infections were associated in 86 cases p ...19921494316
pulmonary function in human immunodeficiency virus infection. a prospective 18-month study of serial lung function in 474 patients.to investigate the development of a reduced dlco in patients with hiv-related disease, we studied 474 hiv-seropositive patients and performed serial lung function measurements over 18 months. the mean values of dlco at presentation were lower in patients with more advanced hiv disease compared with asymptomatic hiv-seropositive patients (dlco 88% of predicted). when compared with the dlco in asymptomatic hiv-seropositive patients, the dlco had reduced values in patients with persistent generaliz ...19921519857
correlation of oral disease with the walter reed staging scheme for hiv-1-seropositive patients.this study correlates the prevalent oral disease findings in 390 patients seropositive for human immunodeficiency virus type 1 (hiv-1) with their level of staging (walter reed) and depletion of peripheral helper t lymphocytes (cd4+). chronic lymphadenopathy of the head and neck was a common finding (59.2%) that occurred early in staging progression and did not correlate with depression of helper t-cell levels. of the three prevalent oral disease findings (oral hairy leukoplakia (ohl), candidiasi ...19921532056
cluster analysis of the metastatic patterns of human immunodeficiency virus-associated kaposi's sarcoma.kaposi's sarcoma (ks) is a pleomorphic spindle cell lesion whose incidence has markedly increased among patients infected with the human immunodeficiency virus (hiv), especially among those whose primary risk factor is homo/bisexual transmission. the question as to whether ks is even a true neoplasm still remains largely unsettled due to the body of epidemiologic and histologic evidence suggesting an infectious etiology of the lesion. accordingly, very few studies have been published regarding s ...19921555840
hepatobiliary scintigraphy in the diagnosis of aids-related sclerosing cholangitis.twenty human immunodeficiency virus (hiv)-positive patients were studied who presented with right upper quadrant abdominal pain, with or without abnormal biochemical liver function tests, in whom aids-related sclerosing cholangitis (asc) was suspected. the results obtained from hepatobiliary scintigraphy using 99tcm-iodida were compared with data from endoscopic retrograde cholangiopancreatography (ercp), ultrasound and histological data from liver biopsy or post mortem. 99tcm-iodida was abnorma ...19921557214
increasing impact of hiv infection on hospitalizations in the united states, 1983-1988.during 1983-1988, hospitalizations of patients with a diagnosis of human immunodeficiency virus (hiv) infection increased from 1.3 to 33.7 per 100,000 persons. we used the national hospital discharge survey, which is based on a representative sample of discharges from nonfederal short-stay hospitals, to describe illnesses among hospitalized patients with hiv infection. of 222,200 such hospitalizations during 1983-1988, most occurred among persons who were 25-44 years of age (79%), white (66%), a ...19921560347
aspiration cytology of lymphocyte-depleted hodgkin's lymphoma in a man infected with the human immunodeficiency virus. a case report.we describe the case of a 39-year-old, human immunodeficiency virus (hiv)-positive man who was noted to have a chest wall mass on physical examination. fine needle aspiration of the mass showed atypical spindle cells. excisional biopsy of the mass revealed hodgkin's lymphoma with areas of lymphocyte depletion consisting of a proliferation of myofibroblastic cells. the myofibroblastic, lymphocyte-depleted areas in the hodgkin's lymphoma mass corresponded to the spindle cells seen in the aspirate. ...19921580125
perineal manifestations of hiv infection.individuals who are seropositive for the human immunodeficiency virus (hiv) frequently have disorders affecting the anorectum, yet little has been reported on this subject. we reviewed our initial experience with patients with hiv referred to the division of colon and rectal surgery. forty patients (age range, 19-45 years; mean, 32.2 years) were seen between 1985 and 1989. the mean duration of symptoms was six months (range, one week to six years). in 25 patients (63 percent), more than one anor ...19921582350
anorectal lesions in human immunodeficiency virus-infected patients.in a prospective study, we analysed the anorectal lesions observed in 148 human immunodeficiency virus-infected patients and compared the data with those reported in the literature. the majority of the patients (97.3%) were homosexual or bisexual men. the mean age of the population was 34.2 years. a history of previous sexually transmitted diseases was found in 79.7% of the male patients. the stage of hiv-related disease, according to the centers for disease control classification, could be dete ...19921588221
evidence for a sexually transmitted cofactor for aids-related kaposi's sarcoma in a cohort of homosexual men.we examined factors associated with the subsequent development of aids-related kaposi's sarcoma in a cohort of 353 homosexual men infected with human immunodeficiency virus (hiv). cumulative incidence curves for the development of kaposi's sarcoma and opportunistic infection were stratified over a wide range of variables at enrollment, including those related to demographics, sexual behavior, illicit drug use, and medical history. we found no strong associations between any of these variables an ...19921591318
recent development of studies on traditional chinese medicine in prophylaxis and treatment of aids.who statistics indicated that as of october 1, 1991 there were 418,403 acquired immunodeficiency syndrome (aids) patients in the world, and an estimated 5-10 million persons infected with the human immunodeficiency virus (hiv) were at risk of developing aids. 50% of aids victims have died. it has been reported that after 1 year of clinical use hiv could develop resistance to azt (azidothymidine), the only effective drug used worlwide and recommended for clinical use by the us government. aids ...19921597994
auditory brain stem responses in patients with human immunotropic virus infection of different stages.thirty patients (26 men, 4 women) with human immunotropic virus infection of different stages were examined. eleven patients had a history of i.v. drug abuse, nine patients had a history of treated lues infection, and one patient suffered from kaposi's sarcoma. at the time of the examination, opportunistic infections or acute encephalitis were not apparent in any patient. all patients underwent otoneurological examinations, including pure-tone audiometry, caloric vestibular testing, and recordin ...19921541374
kaposiform hemangioendothelioma of infancy and childhood. an aggressive neoplasm associated with kasabach-merritt syndrome and lymphangiomatosis.we report the clinical and pathological features of nine distinctive, but relatively unknown, vascular tumors of infancy and childhood presenting as soft tissue masses often associated with locally aggressive disease, lymphangiomatosis and kasabach-merritt syndrome. the patients, four males and five females, were all in their first decade of life except for two (median, 2 years; range, 5 months to 19 years). these tumors involved deep soft tissues of the upper extremity (four cases), retroperito ...19938494101
[isolated rectal kaposi's sarcoma].we report a case of isolated rectal kaposi's sarcoma in a homosexual man with active human immunodeficiency virus infection. although gastrointestinal tract affection is not infrequent, it is usually associated with the existence of skin lesions. a few cases of noncutaneous gastrointestinal kaposi's sarcoma have been described, but no one affecting only the rectum. this is a diagnostic possibility in patients with human immunodeficiency virus infection and rectal symptoms.19938129997
histopathology of human immunodeficiency virus-associated esophageal disease.we evaluated the histopathologic features of the esophageal mucosa in 88 patients seropositive for human immunodeficiency virus (hiv). all patients had an upper endoscopy because of esophageal symptoms. forceps biopsies and brushings of the esophagus were examined histologically and cytologically for evidence of viral, fungal, and mycobacterial infections: in addition, biopsies and brushings were cultured for cytomegalovirus and herpes simplex. esophageal inflammation (acute or chronic) was grad ...19938204115
cancer and viruses.viruses implicated in the development of human cancers include hepatitis b (and c) viruses in hepatocellular carcinoma; human papillomaviruses in anogenital cancers; epstein-barr virus in nasopharyngeal carcinoma and burkitt's lymphoma; human t-cell leukaemia/lymphoma viruses in adult t-cell leukaemia/lymphoma; and indirectly, human immunodeficiency viruses in kaposi's sarcoma and b-cell lymphoma. together, they contribute significantly to the cancer statistics in the southeast asian region. neo ...19938103316
detection of human immunodeficiency virus type 1 and human papillomavirus type 16 in acquired immunodeficiency syndrome-related and classic kaposi's sarcoma. 19938250588
radiation therapy in endemic (african) kaposi's sarcoma.evaluating the role of radiation therapy in the treatment of the endemic, african variant of kaposi's sarcoma. a retrospective analysis.19938262845
mycoplasma penetrans infection in male homosexuals with aids: high seroprevalence and association with kaposi's sarcoma.antibodies to mycoplasma penetrans were found at an unusually high frequency in male homosexuals with aids (55 of 149; 37%) and in human immunodeficiency virus (hiv)-infected asymptomatic homosexuals (13 of 49; 26.5%) but not in intravenous drug users (3 of 308; 1%) and hemophiliacs (1 of 165; 0.6%) with or without hiv-1 infection. thus, both m. penetrans and kaposi's sarcoma (ks) occur primarily in male homosexuals and rarely in other groups of patients at high risk of aids. among 414 hiv-1-inf ...19938268356
pulmonary manifestations of acquired immunodeficiency syndrome-associated malignancies.significant progress has been made in the treatment and prophylaxis of human immunodeficiency virus (hiv)-associated infections. as patients with hiv infection live longer, more cases with hiv-associated malignancies are being reported. pulmonary complications of hiv-associated kaposi's sarcoma and non-hodgkin's lymphoma present clinicians with diagnostic and therapeutic challenges. pulmonary involvement with kaposi's sarcoma ranges from 6% to 32%. pulmonary involvement with acquired immunodefic ...19938278681
[bacillary angiomatosis. a pseudoneoplastic infection in aids patients].bacillary angiomatosis is a newly recognized pseudoneoplastic vascular disease seen in the setting of human immunodeficiency virus (hiv) infection. the disease is characterized by a cutaneous infection with reddish papules or nodules that are similar to pyogenic granulomas or kaposi's sarcoma in clinical appearance. it is caused by the mildly gram-negative bacillus rochalimaea henselae, which can be identified in tissue sections by means of warthin-starry stain. the historical, clinical, histopa ...19938335458
multiple primary gynecologic neoplasms in a young hiv-positive patient.immune suppression from human immunodeficiency virus (hiv) infection is frequently associated with the development of certain neoplasms, including kaposi's sarcoma and non-hodgkin's lymphoma. a young patient with a 5-year history of hiv infection was found simultaneously to have invasive carcinoma of the breast, microinvasive carcinoma of the cervix, and intraepithelial neoplasia of the vulva. in view of the early nature of these neoplasms, conservative therapy was utilized; lumpectomy and adjuv ...19938393503
clinical manifestations of 174 aids cases in maharaj nakorn chiang mai hospital.the human immunodeficiency virus (hiv) has, since it was first reported in 1981, become a worldwide epidemic. the immunosuppressive nature of hiv results in opportunistic infections, neoplasms, and other pathological conditions. clinical manifestations of these conditions are often the first indication that an individual is infected with hiv. this article reports and describes the clinical findings for 174 hiv-positive patients and is intended to educate thai physicians concerning the rising ...19938408918
indium-111-labeled polyclonal human immunoglobulin: identifying focal infection in patients positive for human immunodeficiency virus.pooled human immunoglobulin labeled with indium-111 (111in-higg) was used to identify the presence and extent of infection in patients positive for human immunodeficiency virus (hiv), presenting with either symptoms and/or signs of acute chest infection or with pyrexia without localizing signs or symptoms. fifty-five studies were performed in 51 patients with suspected chest infection or pyrexia without localizing signs. of these, 111in-higg identified intrapulmonary accumulation in 17 patients ...19938410271
esophageal disease in aids is associated with pathologic processes rather than mucosal human immunodeficiency virus type 1.twenty-five patients with aids and esophageal symptoms were evaluated for the presence of esophageal disease and human immunodeficiency virus type 1 (hiv-1) in the esophageal mucosa. a single infectious process caused by candida albicans, cytomegalovirus, herpes simplex virus, varicella-zoster virus, or mycobacterium avium-intracellulare complex or a single noninfectious process caused by kaposi's sarcoma or reflux esophagitis was identified in 20 patients. two processes were identified in 5 pat ...19938440925
bowenoid changes in kaposi's sarcoma.previous reports have documented the coexistence of multiple infectious organisms or kaposi's sarcoma within the same biopsy specimens of mucocutaneous lesions in human immunodeficiency virus- (hiv) infected patients.19938454785
acquired immunodeficiency syndrome-like illness associated with systemic mycoplasma fermentans infection in a human immunodeficiency virus-negative homosexual man.a 35-year-old homosexual man developed a composite nodal kaposi's sarcoma and peripheral t-cell lymphoma that were associated with a peripheral blood cd4-positive lymphocyte count of only 43/mm3. the patient subsequently developed pneumocystis carinii pneumonitis and eventually died due to disseminated cryptococcus neoformans. numerous premortem tests for the presence of human immunodeficiency virus (hiv) types 1 and 2 were negative by the enzyme-linked immunosorbent assay, western blot, viral i ...19938491493
chemotherapy for patients with pulmonary kaposi's sarcoma: benefit of filgrastim (g-csf) in supporting dose administration.kaposi's sarcoma (ks) is common in individuals infected with the human immunodeficiency virus (hiv-1). although ks is frequently indolent, it can also be aggressive and life-threatening, especially in patients with pulmonary involvement (pks), who have poor survival rates when untreated. in an effort to develop treatment regimens for pks that would prolong life or reduce clinical symptoms, we used combination chemotherapy to treat 18 patients who had aids and pks; 13 (72%) of them had a history ...19937694375
lytic vertebral lesions: an unusual manifestation of aids-associated kaposi's sarcoma.the differential diagnosis of neovascular skin lesions in patients with aids includes kaposi's sarcoma and bacillary angiomatosis. it has been suggested that the radiographic presence of lytic bone lesions in association with these skin lesions supports a diagnosis of bacillary angiomatosis. we present a case of disseminated kaposi's sarcoma in which evidence of lytic vertebral disease was seen on computed tomography; the histopathologic characteristics of the osseous lesions are described. find ...19947803643
role of hiv-1 tat in the pathogenesis of aids-associated kaposi's sarcoma. 19947826041
retrovirus-mediated transfer and long-term expression of hiv type 1 tat gene in murine hematopoietic tissues.replication of the human immunodeficiency virus (hiv) is regulated tightly by the tat and rev genes. the tat gene of hiv is a potent trans-activator of virus gene expression. trans-activation is mediated through the tat-responsive element (tar). tat also has been shown to affect transcription of cellular genes and to trans-activate other viral promoters. in transgenic animals, tat expression in skin was implicated in the development of lesions resembling kaposi's sarcoma (ks). more recently, evi ...19947888206
esophageal disease in human immunodeficiency virus infection.up to 40% of patients with the acquired immunodeficiency syndrome may develop symptoms of esophageal disease. candida esophagitis is responsible for the majority of the cases of esophageal disease; cytomegalovirus, herpes simplex, idiopathic esophageal ulcers, and kaposi's sarcoma account for most of the remaining cases. although endoscopy with esophageal biopsy and brushing is the gold standard for the diagnosis of esophageal disease in the acquired immunodeficiency syndrome, we generally recom ...19948031205
urgency of medical care. contrasting perceptions of hiv-positive patients and physicians.to assess the agreement between patients and physicians about the appropriate time to seek medical attention for symptom complexes commonly encountered in human immunodeficiency virus (hiv) disease, identifying potential suboptimal utilization of health care services.19948053755
bacillary angiomatosis: a new entity in acquired immunodeficiency syndrome.since the recognition of the acquired immunodeficiency syndrome (aids) in 1981, previously rare infections and neoplasms have become increasingly common. bacillary angiomatosis, undescribed in the medical literature prior to 1983, is now second in frequency only to kaposi's sarcoma with respect to the cutaneous manifestations associated with human immunodeficiency virus (hiv) infection. caused by rochalimaea henselae, bacillary angiomatosis is easily treated, when diagnosed early, with erythromy ...19948064965
serum levels of intercellular adhesion molecule 1 in patients with hiv-related kaposi's sarcoma.infection with the human immunodeficiency virus type 1 (hiv-1) in man is associated with an increase in the incidence of kaposi's sarcoma (ks). the biological and clinical characteristics of these patients differ from those of subjects with other hiv-associated diseases. here we report that levels of serum-soluble intercellular adhesion molecule 1 (sicam 1) are increased in hiv-1-positive patients with ks, but not in patients belonging to other cdc classification groups. ks patients with elevate ...19947911526
hiv-related oral manifestations in two cohorts of women in san francisco.the goals of this study were to compare the prevalence of oral lesions in women infected with human immunodeficiency virus (hiv) and hiv-negative women, and to determine the association of oral lesions with route of hiv transmission and with level of immunosuppression in infected women. as part of a prospective 4-year study, oral examinations and blood tests were performed, at 6-month intervals, on 176 hiv-infected women and on 117 hiv-negative women at risk for hiv infection. we evaluated parti ...19947914233
laparotomy in patients infected with human immunodeficiency virus: indications and outcome.four distinct disease processes account for the majority of surgically correctable intra-abdominal pathologies associated with human immunodeficiency virus (hiv) infection: cytomegalovirus infection, kaposi's sarcoma, non-hodgkin's lymphoma and mycobacterial infection. affected patients may also develop acute cholecystitis and appendicitis with significant frequency. thorough investigation, when possible, will obviate the need for laparotomy in most hiv-infected patients with abdominal symptoms ...19947922084
systemic treatment of kaposi's sarcoma: current status and future directions.kaposi's sarcoma (ks) is a complex neoplasm of cells of endothelial and fibroblast origin, whose proliferation is maintained by the viral product tat, cytokines, and maybe environmental factors. it was among the first noted clinical manifestations of aids and remains the most common malignancy observed in patients infected with hiv, yet an optimal treatment strategy remains to be identified. the authors discuss current options and future directions for the systemic treatment of ks. they do no ...19947519018
identification and culture of kaposi's sarcoma-like spindle cells from the peripheral blood of human immunodeficiency virus-1-infected individuals and normal controls.we examined 26 patients with human immunodeficiency virus-1 (hiv-1)-associated kaposi's sarcoma (ks), and 76 hiv-1-infected (hiv-1+) people without ks or uninfected (hiv-1-) controls for the presence of circulating ks-like spindle cells. adherent cells that had spindle morphology and several characteristics of spindle cells of ks lesions (ks cells) were identified in the peripheral blood mononuclear cell fraction only after culture in the presence of conditioned medium (cm) from activated lympho ...19947522639
bacillary angiomatosis. clinical and histologic features, diagnosis, and treatment.bacillary angiomatosis is a relatively new infection affecting primarily patients with human immunodeficiency virus or others with impaired host defenses. it presents most commonly with multiple red skin lesions, but visceral involvement may also occur, including involvement of the liver and spleen. because of the dermatologic manifestations, bacillary angiomatosis may be mistaken for kaposi's sarcoma. the diagnosis is made by identification of the characteristic histologic findings or genetic a ...19948122945
risk factors for kaposi's sarcoma in patients with advanced human immunodeficiency virus disease treated with zidovudine. zidovudine epidemiology study group.although the cause of kaposi's sarcoma (ks) is unknown, its unique epidemiology suggests that an infectious, sexually transmitted agent or agents may contribute to its pathogenesis.19948122950
aids-related kaposi's sarcoma: a review.infection with the human immunodeficiency virus (hiv) is the primary cause of aids and related disorders. infection with hiv results in diminished cellular immunity, propensity to opportunistic infections, and an increased incidence of certain neoplasms. kaposi's sarcoma (ks) is the most common neoplasm in persons infected with hiv. this epidemic, or hiv-related ks, usually follows an aggressive course with involvement of skin, lymph nodes, and internal organs. normally, the disease has a progre ...19948175336
periodontal diseases in hiv-infected patients.periodontal diseases may be the first clinical sign of human immunodeficiency virus (hiv)-infection. since the immunosuppression and subsequent susceptibility may alter the responses of the oral tissues as well as the microflora, both periodontal treatment and result of therapy may be modified. the periodontal diseases in hiv-seropositive patients include common as well as less conventional forms of gingivitis and periodontitis, and bacterial, mycotic and viral infections are seen. neoplasias ma ...19948195444
[cardiac tamponade and kaposi's sarcoma].the case of a 31 year-old intravenous drug addict female patient with infection by the human immunodeficiency virus who had recurrent cardiac tamponade and who was diagnosed by pericardic biopsy as kaposi's sarcoma is reported. the patient demonstrated involvement by cutaneous, mucosal, lymph node and probably pleuropulmonary kaposi's sarcoma. thoracic radiography, computerized tomography and echocardiography only showed the presence of pericardic effusion. neither did the pericardic fluid obtai ...19948208010
identification of herpesvirus-like dna sequences in aids-associated kaposi's sarcoma.representational difference analysis was used to isolate unique sequences present in more than 90 percent of kaposi's sarcoma (ks) tissues obtained from patients with acquired immunodeficiency syndrome (aids). these sequences were not present in tissue dna from non-aids patients, but were present in 15 percent of non-ks tissue dna samples from aids patients. the sequences are homologous to, but distinct from, capsid and tegument protein genes of the gammaherpesvirinae, herpesvirus saimiri and ep ...19947997879
[detection of markers of the human t-cell leukemia virus in patients with t-cell lymphoma and kaposi's sarcoma].nine patients with kaposi's sarcoma and five suffering from t-cell lymphoma have been examined. antibodies to htlv-1 were not found in these patients. the primary cellular cultures were isolated from blood and lymph nodes of the patients. viral particles (type c) were found in the culture obtained from the patient with lymphoma of t-cell origin. dnas from the primary cellular cultures from patients with lymphoma or sarcoma contained the sequences homologous to gag-gene of htlv-1. the data suppos ...19947891727
human herpesvirus-like nucleic acid in various forms of kaposi's sarcoma.the association between a new human herpesvirus-like agent and various forms of kaposi's sarcoma was examined by pcr. the dna sequences of this agent were detected in 7 of 8 classic kaposi's sarcoma specimens, 12 of 12 aids-associated specimens from the united states, and 7 of 10 specimens from african endemic kaposi's sarcoma. polymorphism of the herpesvirus-like dna in the kaposi's tissue from different populations was observed by both single-strand conformational polymorphism and direct seque ...19957891487
influence of hiv epidemic on the incidence of kaposi's sarcoma in zambian children.acquired immunodeficiency syndrome-associated kaposi's sarcoma (ks) is well documented in adults. however, very little information is available about ks in the pediatric age group. a retrospectively study was undertaken at the university teaching hospital (uth), lusaka, zambia, to define the incidence and clinical profile of ks in zambian children over the last 13 years and to determine the influence, if any, of the current human immunodeficiency virus (hiv) epidemic on the pattern of pediatric ...19958548353
[kaposi's sarcoma in dermatology consultations at lome, togo].the purpose of this retrospective study conducted in a dermatologic out patient clinic in lomé was to assess the epidemiologic, clinical, and prognostic profile of kaposi's sarcoma in togo during the 15 years period between 1980 and 1994. only patients who had undergone serologic tests for human immunodeficiency virus (hiv) were included. there were 30 patients (27 men and 3 women) with a mean age of 35.2 years (range: 17 to 59 years). thirteen patients were seropositive (epidemic kaposi's sarco ...19958559021
[differential radiologic diagnosis of hiv-associated lung diseases].in 1993 in germany an estimated number of 50,000-70,000 individuals were infected with the human immunodeficiency virus (hiv), who estimations ranged up to 14 million hiv-positive individuals including 1 million children. aids-related diseases frequently occur in the lung. 65% of all aids-defining illnesses begin with life-threatening pulmonary infections. most frequently hiv-positive patients present with pneumocystis carinii pneumonia, followed by atypical mycobacteriosis, bacterial infections ...19958653002
the hiv-1 tat protein induces the expression and extracellular appearance of acidic fibroblast growth factor.mounting experimental evidence suggests that the tat protein, released from human immunodeficiency virus-1 (hiv-1)-infected inflammatory cells, may genetically reprogram targeted cells within a localized environment to develop highly vascularized tumors of mesenchymal origin. the fibroblast growth factor (fgf) family of polypeptides has gained general acceptance as initiators of angiogenesis and functions as potent mitogens for mesoderm-derived cells. to evaluate a potential biological relations ...19957542239
childhood cancers in zambia before and after the hiv epidemic.human immunodeficiency virus (hiv) related cancers in children are not as common and as well described as in adults. an hiv epidemic has been prevalent in zambia since 1983-1984. to study the effect of the epidemic on the epidemiology of cancers in children a retrospective study was undertaken at the university teaching hospital (uth), lusaka, zambia. all the histopathological records from 1980 to 1992 were reviewed and all cases of cancers in children less than 14 years of age were analysed. in ...19957574850
herpesvirus-like dna sequences in non-aids kaposi's sarcoma.the pathogenesis of kaposi's sarcoma (ks) is suggested to be related to an infectious agent transmitted by sexual contact. recently, dna sequences homologous to gamma herpesviridae have been identified in aids-associated ks, but no information is available concerning non-aids-associated ks. five classic, 12 endemic, and 17 aids-associated ks skin lesion specimens were analyzed and all were positive for these novel dna sequences. twenty-four specimens from normal skin were negative. these novel s ...19957594727
perspectives of cytokine treatment in malignant skin tumors.cytokines have been tested in the treatment of different skin cancers during the last decade, and treatment schedules have been established or proposed for several malignant skin tumors. preferentially, the interferons and interleukin-2 were found to be effective in treating skin cancers. interferons alpha and beta have been approved for the treatment of human immunodeficiency virus (hiv)-associated kaposi's sarcoma, cutaneous t cell lymphoma, and malignant melanoma in several countries. interfe ...19957597303
human immunodeficiency virus and the skin: selected controversies.acquired immunodeficiency syndrome was first recognized as a new disease in 1981 because of the unusual association of kaposi's sarcoma and pneumocystis carinii pneumonia in young men. the skin remains one of the most important clinical markers for acquired immunodeficiency syndrome, now recognized as the end stage of infection with the human immunodeficiency virus (hiv). indeed, an urticarial viral exanthem appearing during seroconversion may allow early identification of newly infected individ ...19957615989
human herpesvirus type 6 and cytomegalovirus in aids-associated kaposi's sarcoma: no evidence for an etiological association.epidemiological studies indicate that acquired immune deficiency syndrome (aids)-associated kaposi's sarcoma (ks) may be caused by an infectious, preferentially sexually transmitted agent. herpesviruses infections are common sexually transmitted diseases in homosexual men, who are also the main risk group for developing kaposi's sarcoma. to evaluate a possible role of human herpesvirus-6 (hhv-6) and cytomegalovirus (cmv) in the development of aids-associated ks, we investigated cutaneous aids-as ...19957635454
pattern of adult malignancies in zambia (1980-1989) in light of the human immunodeficiency virus type 1 epidemic.this study analysed histopathological and haematology records of 7836 neoplasms seen during the period 1980-1989 at the university teaching hospital, lusaka, zambia. the crude incidence rate of each malignancy per 100,000 adults per year was calculated and the patterns of malignancies were compared for the periods 1980-1983 and 1984-1989, the later coinciding with the advent of the human immunodeficiency virus (hiv) epidemic. the six most common tumours were carcinoma of the cervix (19.6%), kapo ...19957636927
lower extremity lymphedema caused by acquired immune deficiency syndrome-related kaposi's sarcoma: case report and review of the literature.a case of severe lymphedema of the lower extremity caused by obstruction by human immunodeficiency virus-associated kaposi's sarcoma is presented. a review of the signs and symptoms of obstructive lymphedema and kaposi's sarcoma is provided. early recognition of this clinical entity may allow use of simple preventative measures and help to avoid this life- and limb-threatening situation.19957637119
rehabilitation management of the lower extremity in hiv disease.the sequelae of human immunodeficiency virus (hiv) disease include a host of devastating conditions involving the lower extremity. these include rheumatologic dysfunction, kaposi's sarcoma, peripheral neuropathies, and skin ulcers. pain, weakness, and loss of range of motion caused by these conditions can lead to changes in gait pattern, loss of mobility and function, and limited quality of life. the role of the rehabilitation specialist in the care and treatment of hiv disease as it affects the ...19957643317
photodynamic therapy in aids-related cutaneous kaposi's sarcoma.for evaluating the role of photodynamic therapy (pdt) in the local treatment of acquired immune deficiency syndrome (aids)-related cutaneous kaposi's sarcoma (ks), nine treatments were performed in eight human immunodeficiency virus-positive homosexual men. the patients received 2 mg photofrin/kg and either 120 j/cm2 (n = 5) or 70 j/cm2 (n = 4) laser light (630 nm). a total of 83 lesions were evaluable for response with a follow-up of 3-8 months. the overall response rates by patient for all tre ...19957648286
association of human herpes virus with pulmonary kaposi's sarcoma. 19957658860
detection of kaposi sarcoma associated herpesvirus in peripheral blood of hiv-infected individuals and progression to kaposi's sarcoma.kaposi sarcoma-associated herpesvirus (kshv) is consistently found in biopsy samples from patients with aids-related and "classical" kaposi's sarcoma (ks). although highly suggestive of a causal role of kshv in the pathogenesis of ks, this observation does not exclude the possibility that kshv, like other herpesviruses, is widely distributed and is a mere "passenger" in these lesions. here we report that kshv was detectable in peripheral blood mononuclear cells of 24/46 (52%) of ks patients, but ...19957674745
changing patterns of kaposi's sarcoma in danish acquired immunodeficiency syndrome patients with complete follow-up. the danish study group for hiv infection (dashi).the objective was to study changes in the occurrence of human immunodeficiency virus type 1-related kaposi's sarcoma and the association with degree of immunodeficiency over time. danish patients with acquired immunodeficiency syndrome (aids) diagnosed between 1979 and 1990 (n = 687) were followed clinically and with consecutive cd4 cell count measurement from time of aids-defining illness to date of death or censoring date, whichever came first. the proportion of homo-/bisexual men (n = 520) wi ...19957702040
management of pulmonary kaposi's sarcoma: new perspectives.pulmonary kaposi's sarcoma is a frequent complication of human immunodeficiency virus infection. this article reviews the current approaches to the management of this difficult condition.19957788074
aids-related conditions: study of a representative sample of 1203 patients deceased in 1992 in france.little representative information exists on the frequency of human immunodeficiency virus (hiv)-related diseases among the overall aids population. the objective of this research is to assess the nature, frequency and characteristics of these diseases among aids patients during their last year of life and to analyse these frequencies according to the mode of transmission and other socio-demographic and medical characteristics.19968666489
kaposi's sarcoma-associated herpesvirus in non-aids related lymphomas occurring in body cavities.dna sequences belonging to the recently discovered kaposi's sarcoma-associated herpesvirus (kshv), now provisionally designated human herpesvirus 8, have been previously identified in an uncommonly occurring subset of aids-related lymphomas, referred to as body-cavity-based lymphomas (bcbls), which present as lymphomatous effusions. pyothorax-associated lymphomas (pals) are non-hodgkin's lymphomas that arise in the pleural cavity after long-standing pleural inflammation resulting from therapeuti ...19968686762
primary effusion lymphoma: a distinct clinicopathologic entity associated with the kaposi's sarcoma-associated herpes virus.we recently discovered the kaposi's sarcoma-associated herpes virus (kshv/hhv-8) in an uncommon and unusual subset of aids-related lymphomas that grow mainly in the body cavities as lymphomatous effusions without an identifiable contiguous tumor mass. the consistent presence of kshv and certain other distinctive features of these body cavity-based lymphomas suggest that they represent a distinct entity. we tested this hypothesis by investigating 19 malignant lymphomatous effusions occurring in t ...19968695812
kaposi's sarcoma (ks)-associated herpesvirus-like dna sequences in peripheral blood mononuclear cells: association with ks and persistence in patients receiving anti-herpesvirus drugs.herpesvirus-like dna sequences (kshv/hhv-8) have recently been described in aids-associated kaposi's sarcoma (ks) lesions. many questions remain regarding the role of this virus in ks and the therapeutic implications of this finding. in the current study, kshv/hhv-8 dna was detected in peripheral blood mononuclear cells (pbmcs) from human immunodeficiency virus (hiv)-infected patients with ks (34/98) more often than in hiv-infected individuals without ks (12/64, p = .03). the detection of kshv/h ...19968704186
the seroepidemiology of human herpesvirus 8 (kaposi's sarcoma-associated herpesvirus): distribution of infection in ks risk groups and evidence for sexual transmission.striking differences in kaposi's sarcoma (ks) risk for aids patients who acquire hiv via homosexual activity and those whose hiv infections derive from blood product exposure suggest the presence of a sexually transmitted agent other than hiv in the development of ks. using an immunofluorescence assay, we examined serum samples from 913 patients for the presence of antibody specific for infection by human herpesvirus 8 (hhv8), an agent whose genome is regularly found in ks tissue. the distributi ...19968705863
human herpesvirus-8 in aids-related and unrelated lymphomas. 19968724048
acute myelocytic leukaemia associated with kaposi's sarcoma in a patient without serum antibodies to human immunodeficiency virus type 1.we report a 35-year-old man with acute myelocytic leukaemia and kaposi's sarcoma, whose serum was non-reactive for antibodies to human immunodeficiency virus type-1 by enzyme-linked immunosorbent assay, western blot and immunofluorescence. complete remission of both the acute leukaemia and the kaposi's sarcoma followed treatment with mitoxantrone and cytosine arabinoside. we speculate that the rapid regression of the lesions of kaposi's sarcoma might be related to mitoxantrone and to the return ...19968731687
the lung in hiv infection: can pulmonary function testing help?simple lung function tests have been used to evaluate respiratory symptoms in human immunodeficiency virus (hiv) infected individuals. abnormalities of simple lung function tests, in particular decreases in the transfer factor of the lung for carbon monoxide (tl,co) have been described in patients with acquired immune deficiency syndrome (aids) who have respiratory disease. early studies showed marked reductions in tl,co in patients with pneumocystis pneumonia but other forms of pulmonary infect ...19968766197
antibodies to human herpesvirus type 8 in the general population and in kaposi's sarcoma patients.much of the evidence that human herpesvirus type 8 (hhv-8) is associated with kaposi's sarcoma (ks) has come from molecular studies of hhv-8 dna. seroepidemiological studies have been hampered by the lack of a reliable assay.19968826812
kaposi's sarcoma-associated herpesvirus infection prior to onset of kaposi's sarcoma.kaposi's sarcoma-associated herpesvirus (kshv), a newly discovered human gammaherpesvirus, is found in the majority of ks lesions from patients with and without aids. peripheral blood mononuclear cells (pbmc) were examined for kshv dna to determine whether viral infection precedes onset of this neoplasm.19968838705
establishment and characterization of a primary effusion (body cavity-based) lymphoma cell line (bc-3) harboring kaposi's sarcoma-associated herpesvirus (kshv/hhv-8) in the absence of epstein-barr virus.the recently identified kaposi's sarcoma-associated herpesvirus (kshv), also known as human herpesvirus 8 (hhv-8), has been found to be consistently associated with an unusual subset of acquired immunodeficiency syndrome-related lymphomas, the so-called body cavity-based lymphomas (bcbl) or primary effusion lymphomas (pel). these lymphomas are characterized by a unique spectrum of morphologic and molecular characteristics, and grow as lymphomatous effusions without an identifiable contiguous tum ...19968839859
detection of herpesvirus-like dna in the bronchoalveolar lavage fluid of patients with pulmonary kaposi's sarcoma.pulmonary involvement is a clinically important form of visceral kaposi's sarcoma in immunocompromised patients. recently, herpesvirus-like deoxyribonucleic acid (dna) sequences, defining a new herpesvirus termed "human herpesvirus 8" (hhv8) or "kaposi's sarcoma-associated herpesvirus" (kshv), were detected in kaposi's sarcoma of acquired immune deficiency syndrome (aids) and non-aids patients. we describe the successful detection of hhv8 dna in the bronchoalveolar lavage (bal) fluid of patients ...19968866603
human immunodeficiency virus infection and acquired immunodeficiency syndrome among north american women.women constitute the fastest growing segment of adults with acquired immunodeficiency syndrome (aids), representing 18% of all cases in the united states in 1994. heterosexual transmission is now the dominant route by which women are infected. recent reports indicate that although certain manifestations may be different in women than in men, the rate of clinical progression is similar when they receive comparable medical treatment. antiretroviral therapy is equally as effective in women as in me ...19968873494
oncological problems in aids--a review of the clinical features and management.since the beginning of the acquired immunodeficiency syndrome (aids) epidemic in the early 1980s, several malignant conditions have been recognised to be associated with this syndrome which affect up to 40% of aids patients at some stage of their illness. they include kaposi's sarcoma, systemic non-hodgkin's lymphoma, primary central nervous system lymphoma and invasive cervical cancer. kaposi's sarcoma and primary central nervous system lymphoma were tumours rarely seen below the age of 50 prio ...19968876905
human herpesvirus-8 dna sequences in human immunodeficiency virus-negative angioimmunoblastic lymphadenopathy and benign lymphadenopathy with giant germinal center hyperplasia and increased vascularity.human herpesvirus-8 (hhv-8) dna sequences have been reported to be strictly associated not only with various forms of kaposi's sarcoma but also with an unusual subgroup of acquired immunodeficiency syndrome (aids)-related b-cell lymphomas. a possible relation of this putative virus also with multicentric castleman's disease (mcd) has been recently suggested. we used polymerase chain reaction to look for the presence of hhv-8 sequences in a well characterized series of benign, atypical, and malig ...19968611719
spindle cells isolated from kaposi's sarcoma-like lesions of bkv/tat-transgenic mice co-express markers of different cell types.to characterize murine spindle cells isolated from kaposi's sarcoma-like skin lesions developed in bk virus (bkv)/tat-transgenic mice.19968883582
frequency and distribution of herpesvirus-like dna sequences (kshv) in different stages of classic kaposi's sarcoma and in normal tissues from an italian population.the frequency and distribution of herpesvirus-like dna sequences (kshv) were investigated by pcr in the pathologic skin lesions of a series of 22 hiv-negative elderly patients with classic kaposi's sarcoma (ks) from italy, one of the few regions of the world where classic ks is prevalent. viral sequences were clearly identifiable in 15 cases, in particular in 2 of 5 patch, in 3 of 6 plaque and in 10 of 11 nodular lesions. our findings confirm the association of these herpesvirus-like dna sequenc ...19968635855
combination chemotherapy with doxorubicin, bleomycin, and vindesine for aids-related kaposi's sarcoma.kaposi's sarcoma is the most common neoplasm in patients with human immunodeficiency virus (hiv) infection. although the best therapeutic approach is still unclear, patients with advanced ks are usually treated with systemic chemotherapy.19968640679
herpesvirus-like dna sequences and kaposi's sarcoma: relationship with epidemiology, clinical spectrum, and histologic features.the evidence of an infectious agent other than human immunodeficiency virus (hiv) acting as a possible etiologic cause of kaposi's sarcoma (ks) has received considerable attention in the last years. recently, dna sequences from a new herpesvirus (hhv-8) have been observed in several cases of ks. the discovery suggests that this virus may play a role in the pathogenesis of ks. to evaluate these results, we determined the frequency of hhv-8 dna sequences in 78 specimens of ks according to differen ...19968640682
human herpesvirus-8/kaposi's sarcoma-associated herpesvirus is a new transmissible virus that infects b cells.herpesviral dna fragments isolated from aids-associated kaposi's sarcoma (ks) tissue (kshv-dna) share homology with two lymphotropic oncogenic gamma-herpesviruses, epstein-barr virus and herpesvirus saimiri, and are present in the lesions of more than 95% of hiv and non-hiv-associated forms of ks, aids-related body cavity-based lymphomas, and aids-related multicentric castleman's disease. here we show that bc-1, a kshv-dna-positive, body cavity-based lymphoma cell line, produces infective herpes ...19968642350
use of antiherpes drugs and the risk of kaposi's sarcoma: data from the multicenter aids cohort study.to determine if use of antiherpes drugs protects against the development of aids-associated kaposi's sarcoma (ks), data from 935 homosexual men with aids from the multicenter aids cohort study were analyzed. in nested case-control analysis, neither acyclovir use for human immunodeficiency virus infection (odds ratio [or], 0.84; 95% confidence interval [ci], 0.56-1.26; p = .39) nor acyclovir use for any indication (or, 1.02; 95% ci, 0.76-1.38; p = .89) was associated with a reduced risk of ks as ...19968648224
kaposi's sarcoma on a lymphedematous arm after mastectomy.two patients with kaposi's sarcoma developing in an area of lymphedematous arm postmastectomy are reported. the kaposi's sarcoma occurred after latent periods of 26 and 7 years following radical and modified-radical mastectomy, respectively, in the edematous tissue of the ipsilateral arm. the cutaneous nodules were purple in color and ranged in size from a few millimeters to > 1 cm in diameter. the results of routine laboratory tests were all within normal limits. human immunodeficiency virus (h ...19968554044
increases in cd3+cd4-cd8- t lymphocytes in aids patients with disseminated mycobacterium avium-intracellulare complex infection.human immunodeficiency virus type 1 (hiv-1)-infected persons frequently have increased numbers of t cells bearing the gamma delta t cell receptor for antigen (gamma delta tcr). hiv-1-seropositive patients with < 100 cd4+ cells/mm3 were selected and divided into 9 aids-defining illness groups. the percentages of cd4+, cd8+, or double-negative cd4-cd8- (dn) t cells (most of the latter expressing the gamma delta tcr) for 8 symptomatic groups were compared with those for a reference group of asympto ...19968896497
multicentric castleman's disease in hiv infection: a clinical and pathological study of 20 patients.to describe, in a retrospective study, the clinical and pathological spectrum of multicentric castleman's disease (mcd) in hiv infection.19968924253
kaposi's sarcoma and hhv-8. 19968950809
hhv-8 serology and kaposi's sarcoma. 19968950901
absence of herpesvirus in aids-associated smooth-muscle tumors. 19968965873
hiv-1 and kaposi's sarcoma. 19968972281
the sex ratio of aids-associated kaposi's sarcoma does not provide evidence that sex hormones play a role in pathogenesis. 19968931798
detection of hhv-8 in sjögren's syndrome. 19969003115
detection of herpesvirus-like dna by nested pcr on archival skin biopsy specimens of various forms of kaposi sarcoma.to detect herpesvirus-like dna sequences, defining a new herpesvirus, human herpesvirus 8 (hhv8), in paraffin wax embedded skin biopsy specimens of the various forms of kaposi sarcoma.19968881911
cutaneous cryptococcus infection and aids. report of 12 cases and review of the literature.cryptococcal infections occur in 6% to 13% of patients with acquired immunodeficiency syndrome (aids), most commonly infecting the central nervous system. cutaneous lesions have been described morphologically as umbilicated papules, nodules, and violaceous plaques and can mimic molluscum contagiosum and kaposi's sarcoma. cutaneous lesions can present months prior to other signs of systemic infection.19968624151
kaposi's sarcoma: relationship to a novel herpesvirus and advances in therapy. 19968883626
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