Oesophageal ulceration in HIV-infected patients

dc.contributor.authorEpstein, D P
dc.contributor.authorLocketz, M
dc.date.accessioned2017-03-22T10:11:26Z
dc.date.available2017-03-22T10:11:26Z
dc.date.issued2009
dc.date.updated2016-01-07T10:16:25Z
dc.description.abstractObjective. To determine the aetiology of oesophageal ulceration in HIV-infected patients. Design. A retrospective clinical, endoscopic and histopathological analysis of patients with confirmed HIV infection and an oesophageal ulcer diagnosed on endoscopy. Setting. A tertiary referral, gastrointestinal clinic in Cape Town. Results. Fifty-one patients with HIV infection and oesophageal ulceration were seen from January 2001 to December 2007. Median CD4 count was 26 cells/µl. Mean age was 35.5 years. Sixty per cent of patients were female. Forty-nine per cent of oesophageal ulcers were idiopathic while 23% were caused by cytomegalovirus infection. The remainder were due to miscellaneous causes. Conclusion. A surprisingly small number of patients with HIV associated oesophageal ulceration were seen during the study period. This may reflect local referral practices or the fact that patients with severe immunosuppression succumb before developing oesophageal ulcers. As in other series, idiopathic oesophageal ulcers and cytomegalovirus ulcers made up the majority of cases. Correct biopsy technique and appropriate histological and microbiological investigations are associated with improved diagnostic yield in these patients.
dc.identifier.apacitationEpstein, D. P., & Locketz, M. (2009). Oesophageal ulceration in HIV-infected patients. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24072en_ZA
dc.identifier.chicagocitationEpstein, D P, and M Locketz "Oesophageal ulceration in HIV-infected patients." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24072en_ZA
dc.identifier.citationEpstein, D., & Locketz, M. (2009). Oesophageal Ulceration in Human Immunodeficiency Virus Infected Patients. South African Medical Journal, 99(2), 107.
dc.identifier.ris TY - Journal Article AU - Epstein, D P AU - Locketz, M AB - Objective. To determine the aetiology of oesophageal ulceration in HIV-infected patients. Design. A retrospective clinical, endoscopic and histopathological analysis of patients with confirmed HIV infection and an oesophageal ulcer diagnosed on endoscopy. Setting. A tertiary referral, gastrointestinal clinic in Cape Town. Results. Fifty-one patients with HIV infection and oesophageal ulceration were seen from January 2001 to December 2007. Median CD4 count was 26 cells/µl. Mean age was 35.5 years. Sixty per cent of patients were female. Forty-nine per cent of oesophageal ulcers were idiopathic while 23% were caused by cytomegalovirus infection. The remainder were due to miscellaneous causes. Conclusion. A surprisingly small number of patients with HIV associated oesophageal ulceration were seen during the study period. This may reflect local referral practices or the fact that patients with severe immunosuppression succumb before developing oesophageal ulcers. As in other series, idiopathic oesophageal ulcers and cytomegalovirus ulcers made up the majority of cases. Correct biopsy technique and appropriate histological and microbiological investigations are associated with improved diagnostic yield in these patients. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Oesophageal ulceration in HIV-infected patients TI - Oesophageal ulceration in HIV-infected patients UR - http://hdl.handle.net/11427/24072 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24072
dc.identifier.vancouvercitationEpstein DP, Locketz M. Oesophageal ulceration in HIV-infected patients. South African Medical Journal. 2009; http://hdl.handle.net/11427/24072.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleOesophageal ulceration in HIV-infected patients
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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