       Document 0198
 DOCN  M95A0198
 TI    [Abdominal echography in patients with human immunodeficiency virus
       (HIV) infection. Diagnostic usefulness in the evaluation of associated
       medico-surgical pathology]
 DT    9510
 AU    Erdozain JC; Gonzalez Garcia M; Pintado V; Munoz JF; Castillo P; Presa
       M; Rodriguez JA; Segura JM; Unidad Ecografia Digestiva, Hospital La Paz,
       Madrid.
 SO    An Med Interna. 1995 Mar;12(3):115-21. Unique Identifier : AIDSLINE
       MED/95315422
 AB    BASIS: The abdominal manifestations in the patient with HIV infection
       are increasingly frequent. We have conducted the present study in order
       to determine the diagnostic usefulness of the abdominal echography in
       the clinical assessment of the patient. MATERIALS AND METHODS: We review
       the echographic findings of 112 patients carrying the HIV with or
       without the Acquired Immunodeficiency Syndrome (AIDS). Seventy eight
       patients were men and 34, women, with an average age of 30 years. The
       main risk group was parenterally drug addiction (72%). The stage of the
       HIV infection was IVC1 in 41% of the cases, II in 23%, III in 13% and
       IVC2 in 13%. The echographic exploration was performed using a real-time
       echography, with a probe of 3.5 Mhz, assessing according to conventional
       criteria the abdominal organs and their pathology, masses and free
       intraabdominal fluid. The echographic characteristics were first broadly
       assessed in the patients from the series and later on, according to the
       patient's pathology. (Infectious, acute abdominal, hepatic biochemical
       disorders, HIV carrier-associated pathology). RESULTS: In 33% of the
       cases, the echography was normal. Hepatomegaly was the most frequent
       echographic sign: 56 patients (50%), followed by splenomegaly in 43
       patients (38.3%), standing out the affection of the biliary and/or
       vesicular ductus in 7 patients (6.2%). The echographic findings were not
       related to the HIV infection stage, nor with the presence of hepatic
       biochemical disorders. However, the presence of organomegaly
       (hepatosplenomegaly associated or not to retroperitoneal adenopathies)
       were more frequent in the group with infectious complication, 33.3% vs
       19.6% (p < 0.01), that in the patients without associated infectious
       processes. In patients with medical or surgical acute abdominal
       pathology, the echography was diagnostic in 9 out of 10 patients.
       CONCLUSION: In the HIV patient, the echography allows an specific
       initial diagnostic assessment, being able in most of the patients with
       abdominal manifestations to diagnose the causal pathology.
 DE    Abdomen/*ULTRASONOGRAPHY  Abdomen, Acute/ULTRASONOGRAPHY  Acquired
       Immunodeficiency Syndrome/COMPLICATIONS/DIAGNOSIS/  ULTRASONOGRAPHY
       Adult  Blotting, Western  Comparative Study  English Abstract
       Enzyme-Linked Immunosorbent Assay  Female
       Hepatomegaly/ETIOLOGY/*ULTRASONOGRAPHY  Human  Hypertension,
       Portal/ETIOLOGY/*ULTRASONOGRAPHY  HIV Antibodies/ANALYSIS  HIV
       Infections/*COMPLICATIONS/DIAGNOSIS/*ULTRASONOGRAPHY  Lymphatic
       Diseases/ETIOLOGY/*ULTRASONOGRAPHY  Male
       Splenomegaly/ETIOLOGY/*ULTRASONOGRAPHY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

