Ревматологические маски ВИЧ-инфекции. Часть 1. Поражение опорно-двигательного аппарата

В первой части лекции обобщены современные данные, полученные при изучении когорт ВИЧ-инфицированных пациентов с клиническими признаками поражения структур опорно-двигательного аппарата и кожи. Ревматологические маски ВИЧ-инфекции разнообразны и, как показано в ряде работ, выполненных до и после широкого внедрения антиретровирусной терапии, встречаются с различной частотой, что может затруднить знакомство с данной проблемой, особенно для начинающего клинициста. По обобщенным данным литературы, наиболее часто на фоне ВИЧ-инфекции развиваются ревматоидный артрит, реактивный артрит, ВИЧ-ассоциированный атрит и артралгии, спондилоартрит, псориатический артрит. В настоящей статье уделено внимание обнаружению у таких больных остеопороза и остеонекроза. Рассмотрена классификация поражения мышц при ВИЧинфекции с акцентом на явления рабдомиолиза различного генеза.

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