Melaku Z, Haga H J
Revmatologisk avdeling, Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 2000 Apr 30;120(11):1326-8.
The recognised clinical spectrum of disease associated with HIV infection is rapidly expanding and now includes a variety of rheumatological manifestations.
In this review of the literature of the last 15 years, we present the most common rheumatic manifestations described in association with HIV infection.
Manifestations include a wide array of articular syndromes and autoimmune manifestations such as Reiter's syndrome, psoriatic arthritis, HIV associated arthritis and septic arthritis. Autoimmune diseases associated with HIV infection include a Sjögren-like syndrome, myopathies and systemic vasculitis.
Rheumatological manifestations of HIV infection may present earlier than clinical signs of the infection itself. Steroid and cytostatic treatment of rheumatic diseases may worsen the HIV disease.
与HIV感染相关的公认临床疾病谱正在迅速扩大，现在包括各种风湿病表现。
在对过去15年文献的综述中，我们呈现了与HIV感染相关的最常见风湿病表现。
表现包括一系列关节综合征和自身免疫表现，如赖特综合征、银屑病关节炎、HIV相关性关节炎和化脓性关节炎。与HIV感染相关的自身免疫性疾病包括类干燥综合征、肌病和系统性血管炎。
HIV感染的风湿病表现可能比感染本身的临床症状出现得更早。风湿病的类固醇和细胞抑制治疗可能会使HIV疾病恶化。
