PULMONARY MANIFESTATIONS OF ACQUIRED-IMMUNODEFICIENCY-SYNDROME

被引:55
作者
MEDURI, GU [1 ]
STEIN, DS [1 ]
机构
[1] UNIV TENNESSEE CTR HLTH SCI, MED CTR, DIV INFECT DIS, MEMPHIS, TN 38163 USA
关键词
D O I
10.1093/clinids/14.1.98
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In at least 65% of patients with acquired immunodeficiency syndrome (AIDS), the lung is the site for life-threatening illness. To establish a basis for understanding the pulmonary pathology of such illness, we first review briefly the effects of the human immunodeficiency virus on the immune system and then review the pathological pulmonary processes occurring in AIDS in terms of their various etiologies: infections, idiopathic processes, and neoplasia. In the section on each etiology, we discuss clinical manifestations, pulmonary pathology, diagnostic findings, and therapeutic options. In the last section, we outline our overall initial diagnostic approach to the patient with AIDS who presents with respiratory symptoms, and we discuss the integration of clinical, laboratory, and radiographic findings.
引用
收藏
页码:98 / 113
页数:16
相关论文
共 153 条
[1]   EFFECT OF COMBINED THERAPY WITH ANSAMYCIN, CLOFAZIMINE, ETHAMBUTOL, AND ISONIAZID FOR MYCOBACTERIUM-AVIUM INFECTION IN PATIENTS WITH AIDS [J].
AGINS, BD ;
BERMAN, DS ;
SPICEHANDLER, D ;
ELSADR, W ;
SIMBERKOFF, MS ;
RAHAL, JJ .
JOURNAL OF INFECTIOUS DISEASES, 1989, 159 (04) :784-787
[2]   PHENOTYPICAL AND FUNCTIONAL-ANALYSIS OF BRONCHOALVEOLAR LAVAGE LYMPHOCYTES IN PATIENTS WITH HIV INFECTION [J].
AGOSTINI, C ;
POLETTI, V ;
ZAMBELLO, R ;
TRENTIN, L ;
SIVIERO, F ;
SPIGA, L ;
GRITTI, F ;
SEMENZATO, G .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1988, 138 (06) :1609-1615
[3]   TRIMETREXATE FOR THE TREATMENT OF PNEUMOCYSTIS-CARINII PNEUMONIA IN PATIENTS WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME [J].
ALLEGRA, CJ ;
CHABNER, BA ;
TUAZON, CU ;
OGATAARAKAKI, D ;
BAIRD, B ;
DRAKE, JC ;
SIMMONS, JT ;
LACK, EE ;
SHELHAMER, JH ;
BALIS, F ;
WALKER, R ;
KOVACS, JA ;
LANE, HC ;
MASUR, H .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (16) :978-985
[5]  
[Anonymous], 1988, MMWR, V36, P817
[6]   A CONTROLLED TRIAL OF EARLY ADJUNCTIVE TREATMENT WITH CORTICOSTEROIDS FOR PNEUMOCYSTIS-CARINII PNEUMONIA IN THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME [J].
BOZZETTE, SA ;
SATTLER, FR ;
CHIU, J ;
WU, AW ;
GLUCKSTEIN, D ;
KEMPER, C ;
BARTOK, A ;
NIOSI, J ;
ABRAMSON, I ;
COFFMAN, J ;
HUGHLETT, C ;
LOYA, R ;
CASSENS, B ;
AKIL, B ;
MENG, TC ;
BOYLEN, CT ;
NIELSEN, D ;
RICHMAN, DD ;
TILLES, JG ;
LEEDOM, J ;
MCCUTCHAN, JA .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (21) :1451-1457
[7]   PROGNOSTIC FACTORS AND LIFE EXPECTANCY OF PATIENTS WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME AND PNEUMOCYSTIS-CARINII PNEUMONIA [J].
BRENNER, M ;
OGNIBENE, FP ;
LACK, EE ;
SIMMONS, JT ;
SUFFREDINI, AF ;
LANE, HC ;
FAUCI, AS ;
PARRILLO, JE ;
SHELHAMER, JH ;
MASUR, H .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1987, 136 (05) :1199-1206
[8]   BRONCHOALVEOLAR LAVAGE AND TRANS-BRONCHIAL BIOPSY FOR THE DIAGNOSIS OF PULMONARY INFECTIONS IN THE ACQUIRED IMMUNODEFICIENCY SYNDROME [J].
BROADDUS, C ;
DAKE, MD ;
STULBARG, MS ;
BLUMENFELD, W ;
HADLEY, WK ;
GOLDEN, JA ;
HOPEWELL, PC .
ANNALS OF INTERNAL MEDICINE, 1985, 102 (06) :747-752
[9]  
BUHLES WC, 1988, EV INFECT DIS S, V10, pS495
[10]  
Chaisson R E, 1989, Semin Respir Infect, V4, P133