DIFFERENTIAL DIAGNOSTICS OF ABDOMEN LYMPHADENOPATHY IN HIV PATIENTS
https://doi.org/10.21292/2075-1230-2019-97-2-5-11
Abstract
The objective of the study: to investigate the specific features of intra-abdominal lymphadenopathy in HIV positive patients, to define the best differential diagnostic criteria.
Subjects and methods. Medical records of 113 HIV positive patients with intra-abdominal lymphadenopathy for 2012-2017 were retrospectively analyzed. The patients underwent the comprehensive examination including X-ray and endoscopy, laboratory assays, tests of biopsy specimens collected from lymph nodes, microbiological and molecular genetic tests.
Results. Due to this comprehensive examination, which included invasive diagnostics, etiology of intra-abdominal adenopathy was confirmed in all 113 patients: 75 (66.4%) were diagnosed with tuberculosis, 29 (25.7%) – mycobacterial infection, and 9 (8.8%) had a lymphoproliferative disease. The article presents the criteria for differential diagnostics between these diseases.
About the Authors
M. V. Sinitsyn
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Deputy Director for Research, Reporting and Statistics. Phone: +7 (499) 268-00-05.
10, Stromynka St., Moscow, 107014;
3, Barbolina St., Moscow, 107014
M. S. Skopin
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Surgeon of Tuberculosis Surgery Department. Phone: +7 (499) 268-28-10.
10, Stromynka St., Moscow, 107014;
3, Barbolina St., Moscow, 107014
M. N. Reshetnikov
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Surgeon of Tuberculosis Surgery Department. Phone: +7 (499) 268-28-10.
10, Stromynka St., Moscow, 107014;
3, Barbolina St., Moscow, 107014
D. V. Plotkin
Moscow Municipal Scientific Practical Center of Tuberculosis Control;
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Surgeon of Tuberculosis Surgery Department. Phone: +7 (499) 268-28-11.
10, Stromynka St., Moscow, 107014;
3, Barbolina St., Moscow, 107014
Yu. R. Zyuzya
Research Institute of Human Morphology
Russian Federation
Russian Federation
Candidate of Medical Sciences, Researcher of Infection Pathologies and Molecular Microbial Ecology Laboratory
3, Tsyurupy St., Moscow, 117418
I. A. Sokolina
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Candidate of Medical Sciences, Chief Roentgenologist, Clinic no. 2 Phone: +7 (499) 268-28-55.
Russian Federation
Candidate of Medical Sciences, Chief Roentgenologist, Clinic no. 2 Phone: +7 (499) 268-28-55.
10, Stromynka St., Moscow, 107014;
3, Barbolina St., Moscow, 107014
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Review
For citations:
Sinitsyn M.V., Skopin M.S., Reshetnikov M.N., Plotkin D.V., Zyuzya Yu.R., Sokolina I.A. DIFFERENTIAL DIAGNOSTICS OF ABDOMEN LYMPHADENOPATHY IN HIV PATIENTS. Tuberculosis and Lung Diseases. 2019;97(2):5-11. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-2-5-11
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