ESOPHAGEAL DISEASE IN HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION

被引:39
作者
LAINE, L
BONACINI, M
机构
[1] Div. of Gastrointest. and Liver Dis., Department of Medicine, Univ. of S. California Sch. of Med., Los Angeles, CA
[2] Div. of Gastrointest. and Liver Dis., Department of Medicine, Univ. of S. California Sch. of Med., Los Angeles, CA 90033
关键词
D O I
10.1001/archinte.154.14.1577
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 recommend initial empiric therapy with an antifungal agent in patients with esophageal symptoms. Since effective treatment is available for most cases of esophageal disease in the acquired immunodeficiency syndrome, we recommend endoscopic evaluation in patients who do not respond to empiric therapy within 1 to 2 weeks.
引用
收藏
页码:1577 / 1582
页数:6
相关论文
共 47 条
[11]  
DIETERICH DT, 1993, AM J GASTROENTEROL, V88, P542
[12]  
DIETERICH DT, 1991, J ACQ IMMUN DEF SYND, V4, pS29
[13]   ESOPHAGEAL ULCERATION INDUCED BY ZIDOVUDINE [J].
EDWARDS, P ;
TURNER, J ;
GOLD, J ;
COOPER, DA .
ANNALS OF INTERNAL MEDICINE, 1990, 112 (01) :65-66
[14]   ACYCLOVIR-RESISTANT HERPES-SIMPLEX VIRUS-INFECTIONS IN PATIENTS WITH THE ACQUIRED IMMUNODEFICIENCY SYNDROME [J].
ERLICH, KS ;
MILLS, J ;
CHATIS, P ;
MERTZ, GJ ;
BUSCH, DF ;
FOLLANSBEE, SE ;
GRANT, RM ;
CRUMPACKER, CS .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (05) :293-296
[15]   DISSEMINATED HISTOPLASMOSIS IN AIDS - AN UNUSUAL CASE OF ESOPHAGEAL INVOLVEMENT AND GASTROINTESTINAL-BLEEDING [J].
FORSMARK, CE ;
WILCOX, CM ;
DARRAGH, TM ;
CELLO, JP .
GASTROINTESTINAL ENDOSCOPY, 1990, 36 (06) :604-605
[16]  
GAZZARD BG, 1991, SEMIN GASTROINTEST D, V2, P3
[17]  
GELB A, 1986, AM J GASTROENTEROL, V81, P619
[18]   TREATMENT OF INFECTIONS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS [J].
GLATT, AE ;
CHIRGWIN, K ;
LANDESMAN, SH .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (22) :1439-1448
[19]   RAPID DIAGNOSIS OF INVASIVE CYTOMEGALOVIRUS-INFECTION BY EXAMINATION OF TISSUE SPECIMENS IN CENTRIFUGATION CULTURE [J].
GLEAVES, CA ;
REED, EC ;
HACKMAN, RC ;
MEYERS, JD .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1987, 88 (03) :354-358
[20]  
GOODGAME RW, 1993, AM J GASTROENTEROL, V88, P338