Horwath E, Kramer M, Cournos F, Empfield M, Gewirtz G
New York State Psychiatric Institute, New York 10032.
Hosp Community Psychiatry. 1989 May;40(5):502-6. doi: 10.1176/ps.40.5.502.
The epidemiologic, neuropsychiatric, and medical data on AIDS and HIV infection that are relevant to state psychiatric facilities are reviewed. The epidemiologic data suggest that a larger than expected number of AIDS patients may be seen in these facilities. Patients who are severely disturbed and psychotic may present to state hospitals with HIV encephalopathy. In patients who are chronically and severely ill, physical symptoms, including oral and cutaneous conditions, the HIV wasting syndrome, and lymphadenopathy, may provide early clues to HIV infection. The early neuropsychiatric and medical findings in HIV infection are discussed, and a clinical case is presented.
本文回顾了与州立精神病院相关的艾滋病和艾滋病毒感染的流行病学、神经精神病学及医学数据。流行病学数据表明，这些机构中可能会出现比预期数量更多的艾滋病患者。病情严重且伴有精神错乱的患者可能因感染艾滋病毒脑病而被送至州立医院。对于患有慢性重症疾病的患者，包括口腔和皮肤疾病、艾滋病毒消耗综合征及淋巴结病等身体症状，可能为艾滋病毒感染提供早期线索。文中讨论了艾滋病毒感染早期的神经精神病学及医学发现，并列举了一个临床病例。
