0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

A Third Pattern of Disease Progression in Children Infected With Human Immunodeficiency Virus-Reply

STEPHANE BLANCHE, MD; ANNE-MARIE DULIEGE, MD; CHRISTINE Rouzioux, MD; FRANÇOISE LE DEIST, MD; KEN FUKUNAGA, MD; MAURIZIO CANIGLIA, MD; CHRISTINE JACOMET, MD; CLAUDE GRISCELLI, MD; ANTOINE MESSIAH, PHD
Am J Dis Child. 1991;145(12):1349. doi:10.1001/archpedi.1991.02160120016007.
Text Size: A A A
Published online

In Reply.—We fully agree with the comments by Drs Katz and McNamara regarding the various types of disease progressions in children infected with (HIV). Indeed, some patients with a "borderline" or an unusual progression might not perfectly fit into our description of a "bimodal population" of children according to the progression of the disease.1 We followed up a child, perinatally infected with HIV, who, at age 4 months, developed Pneumocystis carinii pneumonia. Three years later she was well, with no neurologic impairment or secondary infection. Her most recent CD4 cell count was over 1.5× 109/L, and the results of her in vitro lymphocyte proliferation tests became progressively normal, showing an association between the clinical and immunologic improvements. In most cases of HIV-infected children, there is a correlation between the severity of the symptoms and the impairment of the immune system or the intensity of the viral load. However,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();