1.Watch the Tongue.
Annals of the Academy of Medicine, Singapore 2015;44(12):575-576
Adult
;
Coinfection
;
HIV Infections
;
complications
;
Humans
;
Male
;
Oral Ulcer
;
complications
;
diagnosis
;
Syphilis
;
complications
;
diagnosis
;
Tongue Diseases
;
complications
;
diagnosis
2.Bilateral Peripheral Facial Palsy in a Patient with Human Immunodeficiency Virus (HIV) Infection.
Min Su KIM ; Hee Jung YOON ; Hai Jin KIM ; Ji Sun NAM ; Sung Ho CHOI ; June Myung KIM ; Young Goo SONG
Yonsei Medical Journal 2006;47(5):745-747
Neurological complications are important causes of morbidity and mortality in patients with human immunodeficiency virus (HIV) infection. They can occur at any stage of the disease and can affect any level of the central or peripheral nervous systems. In the literature, several cases of HIV-associated facial paralysis have been reported; however, bilateral facial palsy is rarely reported. In this paper, we present the first case in Korea, of a bilateral facial palsy occurring as the first clinical manifestation of HIV infection.
Male
;
Humans
;
HIV Infections/*complications/*diagnosis
;
Facial Paralysis/*diagnosis/etiology
;
Adult
4.Acute Human Immunodeficiency Virus Syndrome Presenting with Hemophagocytic Lymphohistiocytosis.
Kyung Hwa PARK ; Ho Sung YU ; Sook In JUNG ; Dong Hyeon SHIN ; Jong Hee SHIN
Yonsei Medical Journal 2008;49(2):325-328
Hemophagocytic lymphohistiocytosis (HLH) has been described in patients with advanced stages of human immunodeficiency virus (HIV) infection, but rarely occurs during the seroconversion stage of acute HIV infection. We report a case of acute HIV syndrome that presented with virus-associated HLH. The patient recovered spontaneously without any immunomodulating therapy. This case suggests that acute HIV infection should be included in the differential diagnosis of HLH and indicates that HLH associated with acute HIV infection can have a favorable outcome.
Acquired Immunodeficiency Syndrome/complications/*diagnosis
;
Adult
;
Diagnosis, Differential
;
HIV Infections/complications/*diagnosis
;
Humans
;
Korea
;
Lymphohistiocytosis, Hemophagocytic/etiology/*pathology
;
Male
5.Progress in the studies on cytomegalovirus retinitis.
Acta Academiae Medicinae Sinicae 2003;25(2):223-227
Cytomegalovirus retinitis (CMVR) is the commonest opportunistic ocular infection in patients with human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS), typically occurs when CD4+ T cell counts fall below 50/mm3. CMVR accounts for the majority of the vision loss associated with HIV-related eye diseases. However progress in the studies on CMVR, including the prevalence, clinical features, differential diagnosis and recent advances in the management of CMVR is reviewed.
Acquired Immunodeficiency Syndrome
;
complications
;
CD4 Lymphocyte Count
;
Cytomegalovirus Retinitis
;
diagnosis
;
epidemiology
;
therapy
;
Diagnosis, Differential
;
HIV Infections
;
complications
;
Humans
7.Ostraceous and inverse psoriasis with psoriatic arthritis as the presenting features of advanced HIV infection.
Rochelle Lorenzo CASTILLO ; Geraldine Zamora RACAZA ; Francisca Dela Cruz ROA
Singapore medical journal 2014;55(4):e60-3
Knowledge of both the common and atypical presentations of human immunodeficiency virus (HIV)-associated dermatoses may be helpful in arousing suspicion of HIV, especially in patients with no reported risk factors. Herein, we report the case of an otherwise healthy, nonpromiscuous 29-year-old man who presented to our institution with an eight-week history of plaques with oyster shell-like scales on the trunk, extremities and genital area. The plaques were associated with fever, and intermittent knee pain and swelling. Initial diagnostic tests were suggestive of drug hypersensitivity syndrome, and the patient's condition improved with treatment using oral prednisone. However, the lesions recurred when the dose of prednisone was tapered, even after the culprit drug had long been discontinued. Repeat skin punch biopsy and arthrocentesis revealed a diagnosis of psoriasis vulgaris with psoriatic arthritis. Due to the atypical presentation of psoriasis, the patient was counselled to undergo HIV testing, which came back positive. Clinicians should be attuned to the skin signs heralding HIV/acquired immunodeficiency syndrome, in order to facilitate early diagnosis and treatment.
Administration, Oral
;
Adult
;
Arthritis, Psoriatic
;
complications
;
Biopsy
;
Diagnosis, Differential
;
HIV Infections
;
complications
;
diagnosis
;
Humans
;
Male
;
Prednisone
;
administration & dosage
;
Psoriasis
;
complications
;
Risk Factors
;
Treatment Outcome
9.Disseminated Histoplasmosis and Tuberculosis in a Patient with HIV Infection.
Hye Won JEONG ; Jang Wook SOHN ; Min Ja KIM ; Jung Woo CHOI ; Chul Hwan KIM ; Sang Ho CHOI ; Jeeyong KIM ; Yunjung CHO
Yonsei Medical Journal 2007;48(3):531-534
Histoplasmosis is a very rare disease in Korea. Clinical manifestations are very similar to those of tuberculosis. This is the first case report of combined disseminated histoplasmosis and tuberculosis in a patient with HIV infection in Korea. A 42-year-old Korean with Acquired Immunodeficiency Syndrome (AIDS) was diagnosed with tuberculosis. He had lived in Guatemala for the past five years. Upon diagnosis of disseminated tuberculosis with HIV infection, he was treated with anti-tuberculosis medications and anti-retroviral agents. Fever, weakness, hepatosplenomegaly and pancytopenia were persistent despite treatment. The patient's history of living in Guatemala caused us to seek opportunistic infectious organisms other than tuberculosis. Bone marrow aspiration and biopsy were performed and the result revealed numerous intracellular organisms consistent with Histoplasma capsulatum; therefore, the diagnosis of disseminated histoplasmosis was made.
AIDS-Related Opportunistic Infections/microbiology
;
Acquired Immunodeficiency Syndrome/complications/pathology
;
Adult
;
Bone Marrow/microbiology/pathology
;
HIV Infections/*complications/drug therapy
;
Histoplasma/isolation & purification
;
Histoplasmosis/complications/*diagnosis/microbiology
;
Humans
;
Male
;
Thorax/microbiology/pathology/radionuclide imaging
;
Tuberculosis/complications/*diagnosis
10.AIDS-related Gastrointestinal Kaposi Sarcoma in Korea: A Case Report and Review of the Literature.
Cho Yun CHUNG ; Sang Woo PARK ; Eun MYUNG ; Dong Keun CHO ; Young A SONG ; Kang Jin PARK ; Hee Chang JANG ; Young Eun JOO
The Korean Journal of Gastroenterology 2012;60(3):166-171
Kaposi sarcoma (KS) is a vascular neoplasm, which is fairly prevalent in acquired immunodeficiency syndrome (AIDS) patients. Mucocutaneous and lymph node involvements are characteristic features of KS in AIDS patients. The involvement of gastrointestinal tract occurs in 40% of KS patients and leads to significant morbidity and mortality. In the highly active antiretroviral therapy (HAART) era, the rate of AIDS related KS has fallen with control of human immunodeficiency virus (HIV) viremia. However, it is still recognized as the primary AIDS-defining illness, and the proportion of AIDS diagnoses made due to KS ranged from 4.1% to 7.5%. In Korea, AIDS-related KS has been report in low rate incidence. Its gastrointestinal involvements are rarely reported. To date, five cases have been recorded in Korea. Herein, we present an additional case of gastrointestinal KS as the AIDS-defining illness and review of the Korean medical literature.
Acquired Immunodeficiency Syndrome/complications/*diagnosis
;
Anti-HIV Agents/therapeutic use
;
Endoscopy, Digestive System
;
HIV Infections/complications/diagnosis/drug therapy
;
Humans
;
Male
;
Middle Aged
;
Republic of Korea
;
Sarcoma, Kaposi/*diagnosis/etiology/pathology
;
Tomography, X-Ray Computed