AEGiS-GMHC: Treatment Briefs: Sulfasalazine Studied as HIV Treatment Gay Men's Health CrisisImportant note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.
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Treatment Briefs: Sulfasalazine Studied as HIV Treatment

Gay Men's Health Crisis: Treatment Issues - Volume 8 no. 6
David Gold


Researchers from Cabrini Medical Center in New York City report that four HIV-positive patients given sulfasalazine (SFSZ) had substantial increases in CD4 counts (Journal of Rheumatology 1994; 21:662-664). SFSZ is an approved treatment for a number of autoimmune diseases including rheumatoid arthritis. The four patients were all treated for Reiter's syndrome, an inflammatory joint disease that has been associated with HIV infection. After treatment for the syndrome, doctors noticed that mean CD4 cells increased in the patient group from 315 to 542. CD4/CD8 ratios did not change except in one patient, in whom it doubled. No antiretroviral treatment was used in three of four patients. The effect of SFSZ on viral load was not measured. Although no side effects were reported, SFSZ can be suppressive to bone marrow. With the results from this very small, unblinded study, the researchers are currently working with a manufacturer to develop a larger trial of SFSZ in people with HIV.

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