Published:2013
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刘雅琼,林辉,于磊,王清青,王太武,马翔宇,凌华,吴国辉,张路,周向东,熊玮,黄君富,黄国荣,吴龙,向颖,熊鸿燕.类获得性免疫缺陷(阴性HIV)“患者”的流行病学调查[J].陆军军医大学学报(原第三军医大学学报),2013,35(05):369-375.
Liu Yaqiong,Lin Hui,Yu Lei,Wang Qingqing,Wang Taiwu,Ma Xiangyu,Lin Hua,Wu Guohui,Zhang Lu,Zhou Xiangdong,Xiong Wei,Huang Junfu,Huang Guorong,Wu Long,Xiang Ying,Xiong Hongyan.Epidemiological investigation of cases with complained AIDS-related complex (HIV negative)[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(05):369-375.
刘雅琼,林辉,于磊,王清青,王太武,马翔宇,凌华,吴国辉,张路,周向东,熊玮,黄君富,黄国荣,吴龙,向颖,熊鸿燕.类获得性免疫缺陷(阴性HIV)“患者”的流行病学调查[J].陆军军医大学学报(原第三军医大学学报),2013,35(05):369-375. DOI:
Liu Yaqiong,Lin Hui,Yu Lei,Wang Qingqing,Wang Taiwu,Ma Xiangyu,Lin Hua,Wu Guohui,Zhang Lu,Zhou Xiangdong,Xiong Wei,Huang Junfu,Huang Guorong,Wu Long,Xiang Ying,Xiong Hongyan.Epidemiological investigation of cases with complained AIDS-related complex (HIV negative)[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(05):369-375. DOI:
目的 对社区类获得性免疫缺陷(AIDS)综合征(阴性HIV)“患者”进行病因探索。 方法 采用定性系统分析筛检国内外相关综合征报道病例,探索类AIDS综合征“患者”临床特征可能的聚类属性;通过现况调查掌握“患者”人群的一般特征和临床特征。 结果 定性系统分析显示,目前在世界范围,与类AIDS综合征(阴性HIV)“患者”相似的疾病有2种,即CD4
+
T淋巴细胞缺陷综合征(ICL)和非结核分枝杆菌感染(NTM感染);通过174例网络调查和52例现场观察,发现“患者”人群以男性为主,青、中年为主;在国内分布地区广泛;主诉症状涉及呼吸道、消化道、皮肤、肌肉、骨骼和神经系统;根据症状特点,病程有急性期和稳定期之分;群体症状及体征为:淋巴结部位肿胀感、骨痛、肌肉“跳”(痛)、淋巴结节、皮肤结节(皮疹)、舌苔白厚、关节弹响、皮肤干燥;52例“患者”检测发现CD4
+
T淋巴细胞500/μL 17例 (32.69%)、CD4/CD8比值异常16例(30.77%)、干扰素-γ抗体阳性17例(36.69%)和PPD阳性39例(++~+++,75.00%);高危险性行为是可疑的暴露因素之一。 结论 类AIDS综合征(阴性HIV)“患者”现象不能完全用心理因素予以解释,其呈现的临床特征有明显的一致性和规律性,亟待开展深入研究进行分析。
Objective To investigate the possible causes of AIDS-related complex (HIV negative) in community population. Methods Qualitative systematic analysis was used to screen the cases with AIDS-related complex (HIV negative) that had been reported. The possible clustering types of the clinical features of AIDS-related complex were explored based on a cross-section study that had been conducted to observe the personality and clinical features of the cases with AIDS-relate
d complex. Results The qualitative systematic analysis suggested that the idiopathic CD4
+
T lymphocytopenia (ICL) and infection of nontuberculosis mycobacteria (NTM) had similar characteristics with AIDS-related complex (HIV negative). Through network investigation of 174 cases and field observation of 52 cases
the data showed that the AIDS-related complex population came from different areas of China
and was dominated by young and middle-aged male patients. The complained symptoms involved respiratory tract
gastrointestinal tract
skin
muscle
skeleton and nervous system. The clinical course could be divided into an acute period and a stable period. The special symptoms are swollen lymph nodes
snapping joint
osteodynia
muscle throbbing pain
skin nodules (rash)
greasy tongue coating and dry skin. The CD4
+
T lymphocytes 500/μL (32.69%)
the abnormal ratio of CD4/CD8 (30.77%)
the positive antibody of IFN-γ (36.69%) and positive PPD (++ to +++
75.00%) were detected in the 52 cases
and high risk sexual behavior was a suspected exposure factor. Conclusion The AIDS-related complex (HIV negative) in population can not be completely explained by mental disorder. The clinical features have obvious consistency and regularity
and need further study to verify.
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