Document Detail


A color Doppler ultrasound-based comparative study between stavudine and non-stavudine regimens in the onset of vascular lesions in HIV-1-positive patients.
MedLine Citation:
PMID:  18712177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The present study aimed to investigate the role of stavudine in the onset of premature vascular lesions using an ultrasound color Doppler evaluation of the carotid vessels. PATIENTS AND METHODS: A total of 266 patients were evaluated: 149 were treated with stavudine (group I) and 117 without stavudine (group II). RESULTS: Of the patients in group I, 41% exhibited vascular lesions vs. 26% in group II (p=0.0103). The two groups were further divided into subgroups Ia (stavudine and proteinase inhibitor, PI), Ib (stavudine and non-nucleotidic reverse transcriptase inhibitor, NNRTI), IIa (PI, without stavudine) and IIb (NNRTI without stavudine). A higher prevalence of lesions emerged in group Ia, while group IIa were at higher risk of developing vascular lesions than groups Ib and IIb. CONCLUSION: Although stavudine per se does not seem to determine damage of the epiaortic vessels, the association of a PI with stavudine is related to a significantly higher rate of lesions.
Authors:
Paolo Maggi; Antonio Chirianni; Antonio Lillo; Francesco Perilli; Miriam Gargiulo; Vincenzo Esposito; Chiara Bellacosa; Giuseppe Pastore; Guido Regina
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  In vivo (Athens, Greece)     Volume:  22     ISSN:  0258-851X     ISO Abbreviation:  In Vivo     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-08-20     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806809     Medline TA:  In Vivo     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  489-92     Citation Subset:  IM    
Affiliation:
Clinica delle Malattie Infettive, Università di Bari, Italy. p_maggi@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anti-HIV Agents / therapeutic use*
Child
Female
HIV Infections / complications*,  drug therapy*
HIV Seropositivity
Humans
Male
Middle Aged
Stavudine / therapeutic use*
Treatment Outcome
Ultrasonography, Doppler / methods*
Vascular Diseases / complications*,  drug therapy*,  ultrasonography*
Chemical
Reg. No./Substance:
0/Anti-HIV Agents; 3056-17-5/Stavudine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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