Biomaterial Database

[Role of surgical visceral manifestations in the natural history of the acquired immunodeficiency syndrome in adults]. 1993

M Arsac

Université Paris V.

The surgical effects of AIDS in adults are rather frequent. On the basis of 74 cases, from 1985 to 1992, that we have studied clinically, by imaging procedures, biology, previous and long term follow-up, we have tried to set up the place of these effects in the natural history of the disease. The infectious complications must distinguished from tumorous ones. As to the first, we must underline the alithiasic cholecystitis, more often by cytomegalovirus, the sclerosing cholangitis and anorectal sepsis. So far as concerns tumors, note should be taken of the visceral Kaposi's tumors, and the non-hodgkins lymphomas which may given mass effect, haemorrhage or perforation. The common carcinomas shows an abnormal swiftness of growth. The complications chiefly happen at the C stage, so they are mixed up with other effects and their numerous treatments. Thereafter, the diagnosis and the treatment are difficult as well. In spite of some success in the short term on the complications themselves, the surgical procedures did not alter the general course of the disease. The advanced stage of this one leads to a high rate of mortality. Fifty-three of our patients died in a short time. We lost sight of 10 but in a critical state. The other 11 are still now in remission.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000163	Acquired Immunodeficiency Syndrome	An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (HIV), a CD4-positive T-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms. Clinical manifestations also include emaciation (wasting) and dementia. These elements reflect criteria for AIDS as defined by the CDC in 1993.	AIDS,Immunodeficiency Syndrome, Acquired,Immunologic Deficiency Syndrome, Acquired,Acquired Immune Deficiency Syndrome,Acquired Immuno-Deficiency Syndrome,Acquired Immuno Deficiency Syndrome,Acquired Immuno-Deficiency Syndromes,Acquired Immunodeficiency Syndromes,Immuno-Deficiency Syndrome, Acquired,Immuno-Deficiency Syndromes, Acquired,Immunodeficiency Syndromes, Acquired,Syndrome, Acquired Immuno-Deficiency,Syndrome, Acquired Immunodeficiency,Syndromes, Acquired Immuno-Deficiency,Syndromes, Acquired Immunodeficiency
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D014781	Viscera	Any of the large interior organs in any one of the three great cavities of the body, especially in the abdomen.