Arthropathy in HIV infection

lesions of bones and joints are found in more than 60% of HIV-infected.

Very often in HIV patients there are lesions of the joints and spine, which can mimic rheumatic diseases and syndromes, so they are called rheumatic masks HIV infection or rheumatic syndromes in HIV infection.

For HIV-infected are persons whose body was found by the human immunodeficiency virus, belonging to the family of retroviruses.This category of patients are:

  • HIV carriers;
  • patients with clinical signs of infection;
  • AIDS patients - patients with various manifestations observed in patients with severe lesions of the immune system of HIV-infection.

Features articular syndromes in HIV

Pain in HIV patients tend to occur in large joints (elbow and shoulder, knee).Their duration is typically less than a day, and sometimes pain kept for 2-3 hours and are spontaneously.

At the heart of the pain syndrome is a transient impairment of blood circulation in the bone.This is especially observed in the evening and at night, lea

ding to sleep disorders.

Options occurrence of HIV-associated arthritis

  • flowing subacute oligoarthritis, mainly affecting the large joints of the lower extremities (ankle and knee).This type of lesions is often asymmetrical, accompanied by severe pain, which may be associated with the development of necrotic processes in the bone tissue.The duration of this type of arthritis is most often less than 2 months, the disease can occur and one week.In the period of acute pain and limitation of movement in the affected joints are forcing the patient to lead a sedentary lifestyle.
  • Symmetrical sharply growing revmatoidopodobny arthritis is most common in men and occurs as arthritis with lesions of various groups of joints.

leading signs that indicate the relationship of HIV infection and articular manifestations are:

  • undifferentiated spondilartropatiya - defeat the small intervertebral joints;
  • sochetannye spondilartrity - the presence of the same patient several rheumatic diseases (in the medical literature can meet their other name «HLA-B27-associated arthritis in HIV infection").

forms combined lesions of bones and joints in HIV-infected

Clinical manifestations and various combinations of forms of rheumatic masks in HIV-infected patients are extremely diverse, but the most frequent:

  • combination of psoriatic arthritis with reactive arthritis orReiter's syndrome;
  • HIV-associated bacterial arthritis associated with secondary opportunistic infection - fungal, tuberculosis, herpes, hepatitis C, and other infectious diseases;
  • other HIV-associated rheumatic syndromes - polymyositis, vasculitis and vasculopathy, Sjogren's syndrome, etc .;
  • HIV associating soft tissue lesions of periarticular tissues - bursitis, synovitis, tendinitis, adhesive capsulitis, periarthrosis, carpal tunnel syndrome and other tunnel syndrome, Dupuytren's contracture, etc.

forecast osteoartropathy on background

HIV Typically, destruction of bones and joints are determined by the stage of HIV infection itself, a form of destruction of the joints and spine.

It is possible the complete disappearance of clinical manifestations arthropathy without residual structural changes and with full restoration of joint function.

In some cases, especially in the development of AIDS may develop severe arthritis, occurring with symptoms of degradation that occurs most often in purulent inflammations and / or accession fungal infection.

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