Kaplan-Lewis Emma, Aberg Judith A, Lee Mikyung
Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1090, New York, NY 10029, USA.
Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1090, New York, NY 10029, USA.
Semin Diagn Pathol. 2017 Jul;34(4):384-397. doi: 10.1053/j.semdp.2017.04.002. Epub 2017 Apr 6.
In the current era of therapy for human immunodeficiency virus (HIV), life expectancy for persons living with HIV (PLWH) approaches that of the general population. This newly prolonged survival among PLWH is associated with an increased prevalence of comorbidities due to the inflammation, immune activation and immune senescence associated with HIV infection. Higher prevalence of tobacco and alcohol use, co-infection with viral hepatitis and traditional cardiovascular risk factors such as hypertension and hyperlipidemia contribute as well. In this review, we hope to describe the current comorbidities occurring among PLWH and bring increased awareness for conditions that may otherwise not be considered given the younger age at time of presentation.
在当前人类免疫缺陷病毒(HIV)治疗时代,HIV感染者(PLWH)的预期寿命接近普通人群。PLWH中新近延长的生存期与合并症患病率增加有关,这是由于HIV感染相关的炎症、免疫激活和免疫衰老所致。烟草和酒精使用的较高患病率、病毒性肝炎合并感染以及高血压和高脂血症等传统心血管危险因素也有一定作用。在本综述中,我们希望描述PLWH中目前存在的合并症,并提高对那些在就诊时因年龄较轻可能未被考虑的疾病的认识。