Document Detail


Severe aseptic leucoencephalopathy as immune reconstitution inflammatory syndrome in Caucasian and African patients.
MedLine Citation:
PMID:  19424053     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Immune reconstitution inflammatory syndrome (IRIS) after HAART may become manifest in form of aseptic severe leucoencephalopathy. All HIV-1-positive patients in this case series had widespread laboratory tests and follow-up MRI in order to investigate the course and the underlying pathophysiology of IRIS-associated leucoencephalopathy. All patients were treated with corticosteroids, in spite of additional immunosuppression. Three patients were successfully treated with corticosteroids and survived up to now, one died. A neuropathological examination was performed showing massive aseptic intraparenchymal and perivascular invasion of cytotoxic CD8 cells. It is assumed that IRIS-associated leucoencephalopathy is based on other preconditions in Africans and Caucasians.
Authors:
Adrian Ringelstein; Christian Oelschlaeger; Andreas Saleh; Christian Mathys; Rainer Dziewas; Thomas Niederstadt; Doris Reichelt; Martin Hasselblatt; Ingo W Husstedt; Gabriele Arendt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AIDS (London, England)     Volume:  23     ISSN:  1473-5571     ISO Abbreviation:  AIDS     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710219     Medline TA:  AIDS     Country:  England    
Other Details:
Languages:  eng     Pagination:  1435-7     Citation Subset:  IM; X    
Affiliation:
Department of Neurology, Heinrich Heine University, Duesseldorf, Germany. a.ringelstein@gmx.de
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