期刊文献+

HIV/AIDS患者免疫重建炎性综合征研究进展 被引量:2

Progresses in Studies on Immune Reconstitution Inflammatory Syndrome in HIV/AIDS Patients
下载PDF
导出
摘要 免疫重建炎性综合征发生于艾滋病患者应用高效抗反转录病毒疗法后的免疫重建过程中,本文分别对其概念、发病机制、诊断、临床表现和治疗等方面进行了综述。综合文献资料认为在病人的诊治上最重要的一点是提高对免疫重建炎性综合征的诊断和鉴别,以免延误病情。免疫重建的特征之一是恢复了针对机会性感染致病原的免疫反应,因此除非有可能威胁患者生命或导致高致残率外,都应继续应用高效抗反转录病毒疗法。 Immune reconstitution inflammatory syndrome (IRIS) occurred in the process of immune reconstitution disease after highly active antiretroviral therapy. In this paper, the concept, diagnostic criteria, clinical manifestations and treatment of IRIS were reviewed. It is important to improve diagnosis and differentiation of the IRIS and reduce delays. One of the characteristics of immune reconstitution is restoration of immune response to opportunistic infections. Therefore, unless there is a threat to patient's life or a risk that may lead to a very high rate of disability, the highly active antiretroviral therapy should be continued.
出处 《首都医科大学学报》 CAS 北大核心 2009年第5期710-713,共4页 Journal of Capital Medical University
基金 国家科技重大专项(2008ZX10005-004)资助项目~~
关键词 HIV/AIDS 高效抗反转录病毒疗法 免疫重建炎性综合征 HIV/AIDS highly active antiretroviral therapy immune reconstitution inflammatory syndrome
  • 相关文献

参考文献18

  • 1焦洋,李太生.艾滋病的免疫重建炎性综合征[J].中华内科杂志,2005,44(7):548-550. 被引量:16
  • 2李凌君,蔡卫平,唐小平.HIV/AIDS患者免疫重建综合征[J].国际流行病学传染病学杂志,2006,33(3):174-176. 被引量:13
  • 3LawnSD,Wilkinson RJ,Lipman MC,etal.Immunereconstitution and "unmasking" of tuberculosis during antiretroviral therapy[J].Am J Respir Crit Care Med,2008,177:680-685.
  • 4Deps P D,Gripp C G,Madureira B P,et al.Immune reconstitution syndrome associated with leprosy:two cases[J].Int J STD AIDS,2008,19:135-136.
  • 5Thomas D J,Pharm D.Mycobacterial diseases in HIV-positive patients[J].J Pharm Pract,2006,19:10-16.
  • 6Ferrand R A,Elgalib A,Newsholme W,et al.Hypercalcaemia complicating immune reconstitution in an HIV-infected patient with disseminated tuberculosis[J].lnt J STD AIDS,2006,17:349-350.
  • 7Salliot C,Guichard I,Daugas E,et al.Acute kidney disease due to immune reconstitution[J].J Int Assoc Physicians AIDS Care(Chic Ⅲ),2008,7:178-181.
  • 8Mayaud P,Nagot N,Konaté I,et al.Effect of HIV-1 and antiretroviraL therapy on herpes simplex virus type 2:a prospective study in African women[J].Sex Transm Infect,2008,84:332-337.
  • 9Puthanakit T,Oberdorfer P,Akarathum N,et al.Immune reconstitution syndrome after highly active antirelroviral therapy in human immunodeflciency Virus-Infected thai children[J].Pediatr,2006,25:53-58.
  • 10Acharya S,Ross J D.Kaposi's sarcoma of the recto sigmoid colon in a patient with HIV infection and a high CD4 count[J].Int J STD AIDS,2007,18:499-500.

二级参考文献49

  • 1郑煜煌,陈军,雷建华,赖力英,朱映华,何艳,罗虹雨,周华英,丁佩佩,张春迎,李慧.高效抗逆转录病毒疗法治疗HIV—1感染者的免疫学变化[J].中华皮肤科杂志,2006,39(5):281-284. 被引量:22
  • 2Zhou H Y, Zheng Y H, Zhang C Y, et al. Evaluation of human immunodeficiency virus type-1 infected Chinese patients treated with highly active antiretroviral therapy for two years [J]. Viral Immunol, 21)07,20(1): 180 - 187.
  • 3Yu D, Morris-Natschke S L, Lee K H. New developments in natural products-based anti-AIDS research [J]. Med Res Rev, 2007,27(1): 108 - 132.
  • 4Blanco F,Garcia-Benayas T,Josedela C J ,et al. First-line ther apy and mitochondrial damage: different nucleosides, different finding [J]. HIV Clin Trials, 2003,4 ( 1 ): 11 - 19.
  • 5Montessori V, Press N, Harris M,et al. Adverse effects of antiretroviral therapy for HIV infection [J]. CMAJ, 2004,170 (2) :229 - 238.
  • 6Chen L F, Hoy J, Lewin S R. Ten years of highly active antiretroviral therapy for HIV infection [J]. Med J Aust, 2007, 186(3) :146- 151.
  • 7Mosmann T R. Cytokine patterns during the progression to AIDS [J]. Science (New York, N. Y. ), 1994,265(5169) : 193 - 194.
  • 8King D, Tomkins S, Waters A,et al. Intracellular cytokines may model immunoregulation of abacavir hypersensitivity in HIV infected subjects [J]. J allergy Clin Immunol, 2005,115 (5): 1081 - 1087.
  • 9Alfano M, Poll G. Role of cytokines and chemokines in the regulation of innate immunity and HIV infection [J]. Mol Immunol, 21105,42(2) : 161 - 182.
  • 10Sindhu S, Toma E, Cordeiro P,et al. Relationship of in vivo and ex vivo levels of TH1 and TH2 cytokines with viremia in HAART patients with and without opportunistic infections [J]. J Med Virol, 2006,78(4) :431 - 439.

共引文献36

同被引文献25

  • 1焦洋,李太生.艾滋病的免疫重建炎性综合征[J].中华内科杂志,2005,44(7):548-550. 被引量:16
  • 2张福杰,尚红,吴昊.艾滋病诊疗学[M].北京:人民卫生出版社,2009:191-194.
  • 3Huruy K, Mulu A, Mengistu G, et al. Immune reconstitution inflammatory syndrome among HIV/AIDS patients during highly active antiretroviral therapy in Addis Aba ba, Ethiopia[J]. Jap J Infect Dis, 2008,61 (3) :205-209.
  • 4Murdoch DM, Venter WDF, Feldman C, et al. Incidence and risk factors for the immune reconstitution inflammatory syndrome in HIV patients South Africal: a prospective study[J]. AIDS,2008,22(5):601-610.
  • 5Ratnam I, Chiu C, Kandala NB, et al. Incidence and riskfactors for immune reconstitution inflammatory syndrome in an ethnically diverse HIV type 1-infected cohort[J]. Clin Infected Dis,2006,42(3) :418-427.
  • 6Shelburne SA, Montes M, Hamill RJ. immune reconstitution inflammatory syndrome: more answers, more questions[J]. J Antimicrob Chem,2006,57(2) :167-170.
  • 7Murdoch DM, Venter WD, Van Rie A, et al. Immune reconstitution inflammatory syndrome (IRIS): review of common infectious manifestations and treatment options [J]. AIDS Res Ther,2007,4:9.
  • 8Jevtovic DJ, Salemovic D, Ranin J, et al. The prevalence and risk of immune restoration disease in HIV-infected patients treated with highly active antiretroviral therapy [J]. HIV Med,2005,6(2):140 143.
  • 9Morlese JF, Orkin CM, Abbas R, et al. Plasma II.-6 as a marker of mycobacterial immune restoration disease in HIV 1 infection[J]. AIDS, 2003,17 (9) : 1411-1413.
  • 10Mahalingam M,Peakman M,Davies ET ,et al. T cell acti- vation and disease severity in HIV infection[J]. Clin Exp Immunol, 1993,93(3) : 337-343.

引证文献2

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部