Clinical Picture of AIDS and HIV Infection Focused on the Initial Lesion of the Alimentary Tract Takeshi Oishi 1 , Yasuyuki Yamamoto 1 , Katsuyuki Hukutake 1 , Minoru Kawaguti 2 , Toshihiko Saito 2 1Department of Clinical Pathology, Tokyo Medical College 2Department of Internal Medicine Ⅳ, Tokyo Medical College Keyword: HIV , AIDS , 消化器系日和見感染症 pp.837-844
Published Date 1999/6/25
DOI https://doi.org/10.11477/mf.1403103077
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 HIV mainly decreases the number of CD4 lymph cytes that act as a center of immunologic defense mechanism, and reduces defense ability of the host to infection. The number of the HIV infected people are still rising, we suspect that regular blood test may incidentally detect HIV infection more often. HIV mainly disturbs cyto-immunologic defense mechanism ; therefore HIV disease has characteristic opportunistic infection. On the contrary, these opportunistic infections suggest HIV disease. Alimentary tract involvement of early stage of HIV disease has not been well documented yet, but most of the patients who have a certain period of HIV infection may have some complaints associated with digestive tract. Recent advances of anti-HIV therapy and prevention of opportunistic infection could control their symptoms in a considerable period, if they were found in an early stage of disease. If a patient were diagnosed by the digestive tract lesion, patient would be in immunodeficint condition ; therefore immediate consultation to the specialist may be necessary. This article reviews diagnostic plan from the viewpoint of symptoms of HIV infected patients.

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