Manifestaciones reumáticas de la infección por el virus de inmunodeficiencia humana (VIH)

Abstract

With the appearance of the HIV/AIDS complex several rheumatic manifestations have become evident Joint involvement includes arthralgia, HIV-associated arthritis, Reiter's syndrome, psoriatic arthritis and undifferentiated spondyloarthropathy. A kind of myopathy induced by HIV has also been documented and it must be distinguished from zidovudine-induced, and Toxoplasma-produced myopathies. Diffuse Infiltrative Lymphocytosis Syndrome (DILS) is exclusive of patients positive for HIV; it resembles Sjögren's syndrome but there are some clinical and immunological differences between them. The presence of autoimmune phenomena is frequent in HIV-infected patients; the most frequent of them is polyclonal hypergammaglobulinemia. Different types of vasculitis have also been described in the HIV/AIDS complex.