Document Detail


Neurologic consequences of the immune reconstitution inflammatory syndrome (IRIS).
MedLine Citation:
PMID:  20697980     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although major advancements have been made in the treatment of HIV infection, graft-versus-host reactions, and autoimmune diseases, an unexpected consequence of treatment has been the emergence of a devastating inflammatory syndrome, termed the immune reconstitution inflammatory syndrome (IRIS). The pathophysiology of the syndrome is poorly understood, and the syndrome poses unique challenges for diagnosis and treatment. We have reviewed the neurologic manifestations of IRIS in the context of HIV infection as well as in the setting of treatment of autoimmune diseases such as multiple sclerosis, in which compartmental immune suppression may occur without an obvious underlying immune suppression. The purpose of this review is to identify common themes that may assist in the diagnosis and management of these IRIS syndromes.
Authors:
Micheline McCarthy; Avindra Nath
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Current neurology and neuroscience reports     Volume:  10     ISSN:  1534-6293     ISO Abbreviation:  Curr Neurol Neurosci Rep     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-21     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100931790     Medline TA:  Curr Neurol Neurosci Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  467-75     Citation Subset:  IM    
Affiliation:
Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL 33125, USA. mmccarth@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents / therapeutic use*
HIV Infections / complications,  diagnosis,  drug therapy*
HIV-1
Humans
Immune Reconstitution Inflammatory Syndrome / complications,  diagnosis*,  drug therapy*
Nervous System Diseases / complications,  diagnosis*,  drug therapy*
Risk Factors
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents

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