Articular syndrome in an HIV-infected patient
https://doi.org/10.14412/1996-7012-2020-4-161-164
Abstract
Nowadays, HIV infection is one of the leading health problems. Its clinical signs are extremely diverse and are associated with many diseases, including rheumatic diseases. This paper describes the course of articular syndrome in a patient with HIV infection.
In the patient given, asymmetric arthritis of the left wrist, first metacarpophalangeal, and knee joints with no damage to the skin and mucous membranes or enthesitis, a negative HLA-B27 test, and the whole clinical picture, as well as no convincing evidence of rheumatic diseases might suggest the presence of arthritis associated with HIV infection. The diagnosis of HIV infection was verified using enzyme immunoassay.
Today, knowledge continues to accumulate about the features of the course of joint damages and another rheumatic disease in the presence of HIV infection. The possibility of its existence to mask a rheumatic disease, as well as the mutual aggravation of any of the diseases and AIDS, should be taken into account in the practice of physicians of all specialties, especially in the inpatient setting where difficult and diagnostically difficult cases concentrate.
In the patient given, asymmetric arthritis of the left wrist, first metacarpophalangeal, and knee joints with no damage to the skin and mucous membranes or enthesitis, a negative HLA-B27 test, and the whole clinical picture, as well as no convincing evidence of rheumatic diseases might suggest the presence of arthritis associated with HIV infection. The diagnosis of HIV infection was verified using enzyme immunoassay.
Today, knowledge continues to accumulate about the features of the course of joint damages and another rheumatic disease in the presence of HIV infection. The possibility of its existence to mask a rheumatic disease, as well as the mutual aggravation of any of the diseases and AIDS, should be taken into account in the practice of physicians of all specialties, especially in the inpatient setting where difficult and diagnostically difficult cases concentrate.
About the Authors
O. S. Malyshenko
Kemerovo State Medical University, Ministry of Health of Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
T. A. Raskina
Kemerovo State Medical University, Ministry of Health of Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
Yu. V. Averkieva
Kemerovo State Medical University, Ministry of Health of Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
T. V. Protasova
Kemerovo State Medical University, Ministry of Health of Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
Russian Federation
22a, Voroshilov St., Kemerovo 650029, Russia
A. M. Dubaeva
Regional Clinical Hospital for War Veterans, Ministry of Health of Russia
Russian Federation
10, 50 years of October St., Kemerovo 650991, Russia
Russian Federation
10, 50 years of October St., Kemerovo 650991, Russia
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Review
For citations:
Malyshenko OS, Raskina TA, Averkieva YV, Protasova TV, Dubaeva AM. Articular syndrome in an HIV-infected patient. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2020;14(4):161-164. (In Russ.) https://doi.org/10.14412/1996-7012-2020-4-161-164
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