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IRIS and SLE.

机译:IRIS和SLE。

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摘要

A 33-year-old Ethiopian woman presented with complaints of continuous joint pain with swelling and stiffness in her hands and knees for the previous 1 -2 weeks. Her medical history was remarkable for a recent diagnosis of AIDS with CD4 count of 17/mm~3 and viral load of 264,000 copies/mL for which she was started on HAART, 2 months prior to presentation. In addition, 8 months prior to presentation, she was exposed to TB. She was given prophylactic treatment that was discontinued after 1 month secondary to elevated liver function tests. Her family history, although limited, was negative for any rheumatologic disorders. She complained of malaise and low grade fever but denied respiratory, gastrointestinal or neurological symptoms. On examination, she had symmetrical synovitis involving the wrists, metacarpophalangeal, proximal interphalangeal and knees. Skin, cardiopulmonary, neurological and abdominal exams were normal.
机译:一名33岁的埃塞俄比亚妇女在前1-2周内表现出持续的关节疼痛,手和膝盖肿胀和僵硬。对于最近诊断为AIDS的她的病史非常出色,CD4计数为17 / mm〜3,病毒载量为264,000拷贝/ mL,因此在就诊前两个月就开始了HAART治疗。此外,在就诊前8个月,她患了结核病。她接受了预防性治疗,该治疗在肝功能检查升高后1个月后中止。她的家族病史虽然有限,但对任何风湿病均为阴性。她主诉不适和低烧,但否认呼吸道,胃肠道或神经系统症状。经检查,她患有对称性滑膜炎,累及手腕,掌指,近指间和膝盖。皮肤,心肺,神经和腹部检查均正常。

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