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M9490360.TXT
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1994-09-19
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Document 0360
DOCN M9490360
TI Abdominal abnormalities in AIDS: detection at US in a large population.
DT 9411
AU Smith FJ; Mathieson JR; Cooperberg PL; Department of Radiology,
University of British Columbia, St; Paul's Hospital, Vancouver, Canada.
SO Radiology. 1994 Sep;192(3):691-5. Unique Identifier : AIDSLINE
MED/94336876
AB PURPOSE: The authors studied the prevalence of abnormalities at
abdominal ultrasonography (US) in patients with acquired
immunodeficiency syndrome (AIDS), the temporal change in prevalence, and
the use of US to correlate clinical indications with these
abnormalities. MATERIALS AND METHODS: From 1983 to 1991, 899 AIDS
patients were seen, representing 89.36% of the 1,006 AIDS patients in
the province during that time. Of these, 414 underwent 684 US studies,
399 of which were able to be reviewed. RESULTS: US results showed
abnormalities in 264 of the 399 studies, including splenomegaly (n =
124), lymphadenopathy (n = 83]), gallbladder and bile duct abnormalities
(n = 80), hepatomegaly (n = 77), and ascites (n = 54). Clinical
indications with the highest frequency of abnormal findings included
hepatosplenomegaly (n = 337) and abnormal liver function tests (n =
270). Lymph nodes more than 3 cm in diameter (in 10 of 83 patients with
enlarged nodes) always represented an abnormality other than reactive
hyperplasia. The percentage of abnormal results went from 25% in 1984
(two of nine studies) to 81% in 1990 (77 of 95 studies). CONCLUSION: The
prevalence of abdominal abnormalities depicted at US in AIDS patients
has increased since 1983.
DE Abdomen/*ULTRASONOGRAPHY Acquired Immunodeficiency
Syndrome/*COMPLICATIONS Biliary Tract Diseases/COMPLICATIONS/DIAGNOSIS
Female Human Liver Diseases/COMPLICATIONS/ULTRASONOGRAPHY Lymphatic
Diseases/COMPLICATIONS/ULTRASONOGRAPHY Male
Splenomegaly/COMPLICATIONS/ULTRASONOGRAPHY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).