Kapila Rajendra, Schwartz Robert A
Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Medicine, Dermatology, Pathology, and Pediatric, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Dermatol Ther. 2021 Mar;34(2):e14839. doi: 10.1111/dth.14839. Epub 2021 Feb 15.
Jarisch-Herxheimer reaction (JHR) should be anticipated in treating neurosyphilis with coexistent human immunodeficiency virus (HIV) encephalitis. In that context we have devised a staging classification for JHR. In addition, an illustrative case is provided to emphasize the need to consider the diagnosis of neurosyphilis in HIV patients, and if delineated, to be prepared for a severe JHR.
在治疗合并人类免疫缺陷病毒(HIV)脑炎的神经梅毒时,应预料到雅里施-赫克斯海默反应(JHR)。在此背景下,我们设计了一种JHR的分期分类法。此外,还提供了一个实例,以强调在HIV患者中考虑神经梅毒诊断的必要性,并且如果确诊,要为严重的JHR做好准备。