Tenosynovitis as a possible feature of immune reconstitution syndrome during highly active antiretroviral treatment (HAART)

  • Rivoisy C
  • Jauréguiberry S
  • M'Bappe P
 et al. 
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Abstract

An immune reconstitution syndrome (IRS) occurs in between 10% and 25% of patients starting highly active antiretroviral treatment (HAART). A 49-year-old patient presents a tenosynovitis 6 weeks after HAART initiation. In our patient, exhaustive tests for infectious, inflammatory and drug-related causes of tenosynovitis were negative. The improvement obtained with high-dose Non-steroidal anti-inflammatory-drug (NSAID) therapy and the patient's immunovirologic profile, supported a diagnosis of tenosynovitis associated with immune reconstitution, a form of IRS that has not previously been described. This original case increase the broad spectrum of inflammatory rheumatologic disorders associated with HIV infection. © 2009 Société française de rhumatologie.

Author-supplied keywords

  • AIDS
  • HAART
  • Immune reconstitution syndrome
  • Synovitis

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Authors

  • Claire Rivoisy

  • Stéphane Jauréguiberry

  • Pauline M'Bappe

  • Matthieu Gibeault

  • Philippe Bonnard

  • Gilles Pialoux

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