[The neuropathological findings in the acquired immunodeficiency syndrome (AIDS): a review of 138 cases] NLM AIDSLINE Important note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.

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[The neuropathological findings in the acquired immunodeficiency syndrome (AIDS): a review of 138 cases]

Rev Soc Bras Med Trop. 1992 Apr-Jun;25(2):95-9. Unique Identifier : AIDSLINE MED/93391688
Wainstein MV; Ferreira L; Wolfenbuttel L; Golbspan L; Sprinz E; Kronfeld M; Edelweiss MI; Unidade de Doencas Infecciosas, Hospital de Clinicas de Porto; Alegre, Brasil.


Abstract: This is an autopsy study performed in a retrospective fashion to determine the incidence of diseases that could affect the central nervous system in AIDS. For this purpose, 138 autopsies of patients with AIDS performed at the Hospital de Clinicas de Porto Alegre, Brazil, between January/85 and December/90 were studied. All the brains were evaluated macroscopically and microscopically mainly through hematoxylin-eosin staining and if necessary special techniques like PAS, Grocott, Giemsa and Ziehl-Nielsen were done. Results have revealed 29 (21%) cases with cerebral toxoplasmosis; cryptococcosis in 17 (12%); tuberculosis in two (1%) and one case (0.7%) of candidiasis. Besides these inflammatory lesions, 15 (10%) presented vascular lesion; 8 (6%) had gliosis and 7 (5%) cases had suggestive findings of HIV encephalopathy. We can conclude that the CNS is a important target affected by AIDS and that cerebral toxoplasmosis is the principal disease in the CNS in AIDS patients.
Keywords: Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PATHOLOGY Autopsy/STATISTICS & NUMER DATA AIDS Dementia Complex/EPIDEMIOLOGY/PATHOLOGY AIDS-Related Opportunistic Infections/EPIDEMIOLOGY/PATHOLOGY Brazil/EPIDEMIOLOGY Central Nervous System/*PATHOLOGY Central Nervous System Diseases/EPIDEMIOLOGY/PATHOLOGY English Abstract Female Human Incidence Male Retrospective Studies JOURNAL ARTICLEKWDacquiredimmunodeficiencysyndrome/epidemiology/KWDpathologyautopsy/statistics&numerdataaidsdementiacomplex/epidemiology/pathologyaids-relatedopportunisticinfections/epidemiology/pathologybrazil/epidemiologycentralnervoussystem/KWDpathologycentralnervoussystemdiseases/epidemiology/pathologyenglishabstractfemalehumanincidencemaleretrospectivestudiesjournalarticle
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