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儿童免疫重建炎症综合征

Immune Reconstitution Inflammatory Syndrome in children.

作者信息

Mahomed Nasreen, Reubenson Gary

机构信息

Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, South Africa.

Department of Paediatrics & Child Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa.

出版信息

SA J Radiol. 2017 Nov 14;21(2):1257. doi: 10.4102/sajr.v21i2.1257. eCollection 2017.

DOI:10.4102/sajr.v21i2.1257
PMID:31754484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6837832/
Abstract

Immune Reconstitution Inflammatory Syndrome (IRIS) refers to a collection of inflammatory disorders, predominantly related to infectious processes that manifest after the initiation of antiretroviral therapy (ART) and can be classified as unmasking or paradoxical. The prevalence of IRIS in children in sub-Saharan Africa is low. Approximately half of all cases are associated with . It may be difficult to distinguish IRIS from tuberculosis and other opportunistic infections radiologically; therefore, radiological findings must be interpreted with clinical and laboratory findings. In this review article, we describe the clinical and radiological manifestations of IRIS in children and provide illustrative radiological examples.

摘要

免疫重建炎症综合征(IRIS)指的是一组炎症性疾病,主要与抗逆转录病毒治疗(ART)开始后出现的感染过程相关,可分为暴露型或矛盾型。撒哈拉以南非洲儿童中IRIS的患病率较低。所有病例中约有一半与……有关。从放射学角度很难将IRIS与结核病和其他机会性感染区分开来;因此,必须结合临床和实验室检查结果来解读放射学检查结果。在这篇综述文章中,我们描述了儿童IRIS的临床和放射学表现,并提供了具有说明性的放射学实例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/dc9f50c0e9a6/SAJR-21-1257-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/94d6e6c2ae99/SAJR-21-1257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/2764dc43307d/SAJR-21-1257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/ab8d3683442b/SAJR-21-1257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/dc9f50c0e9a6/SAJR-21-1257-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/94d6e6c2ae99/SAJR-21-1257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/2764dc43307d/SAJR-21-1257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/ab8d3683442b/SAJR-21-1257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638a/6837832/dc9f50c0e9a6/SAJR-21-1257-g004.jpg

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Pediatr Pulmonol. 2016 Feb;51(2):157-64. doi: 10.1002/ppul.23221. Epub 2015 Jun 14.
2
Optimisation of antiretroviral therapy in HIV-infected children under 3 years of age.3岁以下HIV感染儿童抗逆转录病毒疗法的优化
Cochrane Database Syst Rev. 2014 May 22;2014(5):CD004772. doi: 10.1002/14651858.CD004772.pub4.
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Reactivation of herpes simplex virus type 2 after initiation of antiretroviral therapy.
开始抗逆转录病毒治疗后,单纯疱疹病毒 2 型被激活。
J Infect Dis. 2013 Sep 1;208(5):839-46. doi: 10.1093/infdis/jit252. Epub 2013 Jun 28.
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Early versus delayed antiretroviral therapy and cerebrospinal fluid fungal clearance in adults with HIV and cryptococcal meningitis.HIV 成人患者中抗反转录病毒治疗时机(早期与延迟)与隐球菌性脑膜炎患者脑脊髓液真菌清除率的相关性。
Clin Infect Dis. 2013 Apr;56(8):1165-73. doi: 10.1093/cid/cit019. Epub 2013 Jan 29.
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Early antiretroviral treatment reduces risk of bacille Calmette-Guérin immune reconstitution adenitis.早期抗逆转录病毒治疗可降低卡介苗免疫重建淋巴结炎的风险。
Int J Tuberc Lung Dis. 2011 Sep;15(9):1194-200, i. doi: 10.5588/ijtld.10.0721.
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Immune reconstitution to parvovirus B19 and resolution of anemia in a patient treated with highly active antiretroviral therapy.患者接受高效抗逆转录病毒治疗后,对细小病毒 B19 产生免疫重建,贫血得以缓解。
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Risk factor analyses for immune reconstitution inflammatory syndrome in a randomized study of early vs. deferred ART during an opportunistic infection.机会性感染时早期与延迟 ART 随机研究中免疫重建炎症综合征的风险因素分析。
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