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Document 3109
DOCN M94A3109
TI The clinical presentation of HIV-1 disease and AIDS at the Chulalongkorn
University Hospital in Bangkok, Thailand.
DT 9412
AU Ruxrungtham K; Muller O; Teeratakulpisarn S; Sirivichakul S; Ubolyam S;
Hanvanich M; Phanuphak P; Thai Red Cross Society, Bangkok, Thailand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):151 (abstract no. PB0032). Unique
Identifier : AIDSLINE ICA10/94369466
AB OBJECTIVE: To describe the clinical dimension of the Thai AIDS epidemic
with respect to one hospital in Bangkok. METHODS: Retrospective analysis
of data from 446 consecutive patients attending the AIDS outpatient
clinic of the Chulalongkorn University Hospital in Bangkok during a 10
weeks period in 1993/94. RESULTS: Of 446 patients, 81% were male and 19%
female. Mean age was 32 ys (28 in females). 24% of patients were new to
the clinic, and 41% came from outside Bangkok. 86% reported
heterosexual, 9% homo/bisexual, and 5% i.v. drug use risk. 22% were
asymptomatic or lymphadenopathy syndrome, 31% were ARC, and 47% were
AIDS by clinical or laboratory (CD4 < 200) definition. The most commen
manifestations in the clinical history were generalized lymphadenopathy
(39%), oral symptoms as OHL (45%) or thrush (26%), dermal symptoms as
pruritic maculopapular eruption (27%), seborrhoic dermatitis (6%),
bacterial skin infections (8%), H. simplex (4%), or H. zoster (17%),
chronic fever (10%), chronic diarrhea (9%), severe weight loss (13%),
tuberculosis (15%), PCP (5%), and cryptococcal meningitis (3%). 30% of
patients had received antiretroviral treatment before. 15% have been
hospitalised (mean 17 days) at least once during HIV disease,
tuberculosis (38%), cryptococcal meningitis (18%) and PCP (16%) being
the major causes for hospitalisation. CONCLUSIONS: Increasing numbers of
severely ill patients with HIV disease are seen in Bangkok. Because of
this being only the start of the clinical epidemic, there is urgent need
for the development of alternative strategies in treatment and care for
AIDS in Thailand.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/PHYSIOPATHOLOGY/
TRANSMISSION Adult AIDS-Related Complex/EPIDEMIOLOGY/PHYSIOPATHOLOGY
Female Human Male Retrospective Studies Sex Behavior Substance
Abuse, Intravenous Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).