Download An Atlas of Differential Diagnosis in HIV Disease by Marc C. I. Lipman, Robert W. Baker, Margaret A. Johnson PDF

By Marc C. I. Lipman, Robert W. Baker, Margaret A. Johnson

Within the nearly ten years because the booklet of the 1st version of An Atlas of Differential analysis in HIV disorder, there were major advancements in scientific HIV care. the expansion of AIDS within the constructing international is continuous at an alarming price, the advent of hugely energetic antiretroviral treatment has offered new problems, and the elevated toughness of HIV-infected sufferers has replaced the problems desirous about long term HIV administration. thoroughly revised to mirror those adjustments and incorporating new medical info, this moment variation includes:

  • Increased insurance of latest and re-emerging illnesses similar to tuberculosis, tumors, and extra esoteric diseases
  • Discussions of drug-related side-effects equivalent to the hyperlipidemias produced by means of antiretroviral drugs
  • The diverse different types of antiretroviral drug remedy, comparable to nuceleoside opposite transcriptase inhibitors, non-nucleosides, and protease inhibitors
  • Updates infections and fungal ailments of the surface and the side-effects of drug interactions
  • Revised presentation of Pneumocystis, lung tumors, and lymphocytic interstitial pneumonia

    Succinct motives mixed with copious illustrations make this a vital source for the care and administration of HIV patients.
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    Additional info for An Atlas of Differential Diagnosis in HIV Disease

    Sample text

    The lesions were in areas of sunlight exposure - which is characteristic. They did not resolve upon stopping medication. 19 Hyperpigmentation Pigmentation is often drug-induced and may be associated with photosensitivity. The illustration shows a man taking long-term rifabutin therapy. 20 Zidovudine-induced nail changes The pigmentation seen in this illustration resulted from long-term zidovudine use. The melanocyte proliferation accounting for this often resolves with discontinuation of the drug.

    Purulent sputum, pleuritic chest pain and focal signs imply a bacterial pneumonia; pleural effusions are usually due to mycobacterial disease or Kaposi's sarcoma). However, dual pathogens are found in up to 20% of patients and bacterial infection (especially Gramnegative septicemia) is now a common cause of HIVrelated death. g. 'step-ups' for 5-10 min) or arterial blood gases. Hypoxemia is common in many respiratory conditions and exercise desaturation (< 92%) is a more sensitive indicator of PCP.

    Stevens-Johnson syndrome and toxic epidermal necrolysis (which can result from the use of several different HIV-related drugs) has a mortality of up to 10%. Patients should always have their medication history clearly documented. Thinning of scalp and body hair may occur, and tends to be worse if seborrheic dermatitis is present. Sudden premature greying is also seen more frequently with HIV, probably as a result of malnutrition. Other hair changes include hypertrichosis of the eyelashes, and alopecia (balding) .

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