Kaur Primal P, Chan Virginia C, Berney Steven N
Division of Rheumatology, Department of Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
J Clin Rheumatol. 2007 Apr;13(2):79-80. doi: 10.1097/01.rhu.0000260411.75599.39.
Limited information exists on treatment of rheumatoid arthritis in a patient with coexisting human immunodeficiency virus (HIV) infection. We report a case of a patient with rheumatoid arthritis who then became HIV positive. His HIV viral load was controlled with antiretroviral therapy, but he continued to have active rheumatoid arthritis despite therapy with hydroxychloroquine, sulfasalazine, and corticosteroids. Because of unremitting rheumatoid disease, we are now treating him with a TNFalpha inhibitor, and his rheumatoid disease activity has decreased from 28 swollen and tender joint count to less than 5.
关于合并人类免疫缺陷病毒（HIV）感染的类风湿关节炎患者的治疗信息有限。我们报告了一例类风湿关节炎患者随后感染HIV的病例。他的HIV病毒载量通过抗逆转录病毒疗法得到控制，但尽管接受了羟氯喹、柳氮磺胺吡啶和皮质类固醇治疗，他仍患有活动性类风湿关节炎。由于类风湿疾病持续存在，我们现在用肿瘤坏死因子α抑制剂对他进行治疗，他的类风湿疾病活动度已从28个肿胀和压痛关节数降至不到5个。
