Resumo

DIAZ, María Claudia et al. Prevalence of rheumatic disease in a cohort of patients with human immunodeficiency virus infection. Rev.Colomb.Reumatol. [online]. 2015, vol.22, n.2, pp.79-83. ISSN 0121-8123.  https://doi.org/10.10167j.rcreu.2015.03.003.

Objective: To describe the prevalence of rheumatic diseases in a cohort of patients with HIV infection attending a university hospital, along with their demographic and clinical features. Patients and methods: Cross-sectional study of 1712 outpatients with HIV infection treated at a university hospital between January 2005 and September 2013. Results: There was a prevalence of rheumatic diseases of 5.2% (n=89) in the patients studies, with 76% being male patients. The mean age of onset was 45 ± 11 years. Fourteen patients had reactive arthritis (15%), 14 had osteoarthritis (15%), 10 had immune thrombocytopenic purpura (11%), and 53 had other conditions (59%). The mean time between HIV diagnosis and rheumatic condition onset was 73 ± 66 months. The most prevalent comorbidities were dyslipidemia in 12 patients (11%), hepatitis B in 19 (17%), lipodystrophy in 12 (11%), herpes zoster in 11 (10%) and hypothyroidism in 10 (9%). Conclusions: A description is presented on the rheumatic diseases found in a cohort of patients with HIV infection. As reported in previous series, reactive arthritis is the most frequent rheumatic condition along with osteoarthritis. This study shows a trend towards successful aging of HIV patients due to a better control of the disease with the use of antiretroviral therapy, but with an increasing prevalence of osteoarthritis.

Palavras-chave : Rheumatic diseases; Human immunodeficiency virus; Arthritis.

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