Oldham S A, Barron B, Munden R F, Lamki N, Lamki L
Department of Radiology, University of Texas Houston Health Science Center 77030, USA.
Crit Rev Diagn Imaging. 1998 Aug;39(4):259-338.
The thoracic manifestations of AIDS have undergone a gradual metamorphosis, partly due to more awareness about the disease leading to earlier diagnoses and partly due to the fact that research has produced more effective prophylaxis as well as treatment for these patients. Many patients now demonstrate partial or complete clinical response which prolongs the length and quality of life of individuals positive for the Human Immunodeficiency Virus (HIV+). Also, with the large number of infected individuals coming to medical attention, and the years of experience in diagnosing and treating these AIDS patients, we now recognize not only the usual but also less usual manifestations of thoracic illnesses in AIDS, including infections, non-infectious diseases such as HIV associated Lymphocytic Interstitial Pneumonia and the neoplasms associated with AIDS. A section will be devoted to HIV infection in children. We will finish the article with a discussion of the current role of Nuclear Medicine in the diagnosis of HIV associated thoracic diseases. These topics are the subject of this article.
艾滋病的胸部表现已经历了逐渐的转变,部分原因是对该疾病的认识提高导致诊断更早,部分原因是研究为这些患者研发出了更有效的预防措施和治疗方法。现在许多患者表现出部分或完全的临床反应,这延长了人类免疫缺陷病毒阳性(HIV+)个体的寿命和生活质量。此外,随着大量感染者前来就医,以及多年诊断和治疗这些艾滋病患者的经验,我们现在不仅认识到艾滋病胸部疾病的常见表现,也认识到不常见的表现,包括感染、非感染性疾病如HIV相关淋巴细胞间质性肺炎以及与艾滋病相关的肿瘤。其中一部分将专门讨论儿童HIV感染。我们将在文章结尾讨论核医学在诊断HIV相关胸部疾病中的当前作用。这些主题就是本文的内容。