DIFFERENTIAL DIAGNOSTICS OF ABDOMEN LYMPHADENOPATHY IN HIV PATIENTS

• Main Authors: M. V. Sinitsyn, M. S. Skopin, M. N. Reshetnikov, D. V. Plotkin, Yu. R. Zyuzya, I. A. Sokolina
• Format: Article
• Language: Russian
• Published: NEW TERRA Publishing House 2019-03-01
• Series: Tuberkulez i Bolezni Lëgkih
• Subjects: hiv infection; abdominal tuberculosis; extrapulmonary tuberculosis; mycobacteriosis; intra-abdominal lymphadenopathy; abdomen lymphoma; tuberculosis mesenteric lymphadenitis
• Online Access: https://www.tibl-journal.com/jour/article/view/1235

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.