La maladie de Parkinson en France (serveur d'exploration)

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Does HIV Infection Alter Parkinson Disease?

Identifieur interne : 000281 ( PubMed/Corpus ); précédent : 000280; suivant : 000282

Does HIV Infection Alter Parkinson Disease?

Auteurs : Antoine Moulignier ; Antoine Gueguen ; François-Xavier Lescure ; Marc Ziegler ; Pierre-Marie Girard ; Bernard Cardon ; Gilles Pialoux ; Jean-Michel Molina ; Jean-Philippe Brandel ; Cédric Lamirel

Source :

RBID : pubmed:26371610

English descriptors

Abstract

To describe the clinical features, treatment(s), and outcomes of 15 HIV-infected patients with idiopathic Parkinson disease (PD) and sustained virus suppression and immunologic reconstitution, from a reference cohort of 9847 persons living with HIV (PLH).

DOI: 10.1097/QAI.0000000000000677
PubMed: 26371610

Links to Exploration step

pubmed:26371610

Le document en format XML

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<name sortKey="Lescure, Francois Xavier" sort="Lescure, Francois Xavier" uniqKey="Lescure F" first="François-Xavier" last="Lescure">François-Xavier Lescure</name>
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<term>Animals</term>
<term>Anti-HIV Agents (therapeutic use)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>CD4 Lymphocyte Count</term>
<term>Case-Control Studies</term>
<term>Dogs</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">To describe the clinical features, treatment(s), and outcomes of 15 HIV-infected patients with idiopathic Parkinson disease (PD) and sustained virus suppression and immunologic reconstitution, from a reference cohort of 9847 persons living with HIV (PLH).</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe the clinical features, treatment(s), and outcomes of 15 HIV-infected patients with idiopathic Parkinson disease (PD) and sustained virus suppression and immunologic reconstitution, from a reference cohort of 9847 persons living with HIV (PLH).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This retrospective, single-center matched case-control 1:2 study included PLH-PD patients evaluated over a 12-year period (2002-2013) with mean follow-up of 6.5 years. PD clinical features and dopamine replacement therapy (DRT) were compared, and biologically relevant HIV data were assessed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">PD prevalence in PLH was similar to that of the general population. At onset, clinical presentations and therapeutic management were similar for both groups. Rapidly effective DRT was well tolerated without combined antiretroviral therapy interactions or virus escape. At the end of the follow-up, compared with HIV-negative PD, PLH had a significantly lower median Unified Parkinson's Disease Rating Scale motor score (4 vs 14; P < 0.001), median Hoehn and Yahr stage (1 vs 2; P = 0.0005), and median Handipark scale score (2 vs 3; P = 0.0036) under the same daily DRT. One PLH underwent highly successful deep brain stimulation of the subthalamic nucleus.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">HIV-associated PD is similar to idiopathic PD with some features suggesting an HIV-induced functional adaptation of dopaminergic neurons that might counterbalance the PD-induced neuronal loss. Concurrent HIV infection does not compromise the outcome of idiopathic PD.</AbstractText>
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