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Revista do Instituto de Medicina Tropical de São Paulo

On-line version ISSN 1678-9946

Rev. Inst. Med. trop. S. Paulo vol.32 no.5 São Paulo Sept./Oct. 1990

http://dx.doi.org/10.1590/S0036-46651990000500010 

SOROLOGIA

 

Soropositividade para HIV em doentes de herpes zoster(1)

 

Seropositivity for HIV among zoster patients

 

 

Mônica R. A. VasconcellosI; Luiz G. M. CastroI,II; Maurici F. dos SantosII

IDisciplina de Dermatologia da Escola Paulista de Medicina. São Paulo, SP, Brasil
IIDepartamento de Dermatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. São Paulo, SP, Brasil

Endereço para correspondência

 

 


RESUMO

Os autores estudam a relação de zoster com soropositividade para HIV. Foram testados soros de 66 pacientes (31 homens e 35 mulheres) com quadro agudo de zoster, usando-se o método de ELISA para detectar anticorpos anti-HIV. Não houve seleção dos pacientes, evitando assim lidar com amostra viciada. Entre os 7 HIV +, 6 pertenciam a grupo de risco para AIDS, todos eram do sexo masculino e seis tinham idade entre 19 e 39 anos (idade média de 31,7 anos). Os resultados sugerem que o diagnóstico de herpes zoster em pacientes jovens não se vincule necessariamente à infecção pelo HIV. Quando, no entanto, o doente pertence a grupo de risco para AIDS, independentemente de sua idade, existe associação estatisticamente significativa, tornando-se imperativa a pesquisa de anticorpos anti-HIV.

Unitermos: Herpes Zoster; HIV.


SUMMARY

Relationship between zoster and seropositivity for HIV is studied. Serum samples from 66 patients presenting acute zoster infection were tested for HIV antibodies, using ELISA. There was no previous selection of patients, what rendered the population studied unbiased. Seven patients (10.6%) were positive for HIV antibodies. Among them six belonged to AIDS risk groups, all were males and six had ages between 19 and 39 years (mean age value 31.7). Results suggest that the finding of zoster in younger age groups is not necessarily linked to HIV infection. When zoster is diagnosed in patients who belong to AIDS risk groups, independently from their age, the association with HIV infection is statistically significative. In these cases zoster can even be considered as a marker for HIV infection and it is mandatory to test these patients for HIV antibodies.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

AGRADECIMENTOS

Os autores agradecem aos Drs. S. Yamada, O. Rotta e P. Dorlhiac e aos funcionários da Fundação Hemocentro (V. Tanaka, M. N. Y. Novaes, D. F. Chamone e A. R. L. Ruiz) pelo auxílio recebido no desenvolvimento do trabalho e à Profª. Dra. Sabina Gotlieb pelo estudo estatístico.

 

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Endereço para correspondência:
Dr. Luiz G. M. Castro
Clínica de Moléstias da Pele
Rua Capital Federal, 95
CEP 01259 São Paulo, SP, Brasil

Recebido para publicação em 02/01/1990.

 

 

(1) Trabalho realizado na Disciplina de Dermatologia da Escola Paulista de Medicina e no Departamento de Dermatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo.

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