HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.

ABSTRACT BACKGROUND: HIV is now pandemic in India and other countries and is in its exponential phase. This infection though associated with many opportunistic infections and neoplasm, it further complicates with a marked hematological abnormalities. This study aims to determine the magnitude &...

Full description

Bibliographic Details
Main Author: THULASI RAMAN RAMALINGAM
Format: Article
Language:English
Published: Mattioli1885 2014-08-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:https://mjhid.org/index.php/mjhid/article/view/1776
_version_ 1818906419391365120
author THULASI RAMAN RAMALINGAM
author_facet THULASI RAMAN RAMALINGAM
author_sort THULASI RAMAN RAMALINGAM
collection DOAJ
description ABSTRACT BACKGROUND: HIV is now pandemic in India and other countries and is in its exponential phase. This infection though associated with many opportunistic infections and neoplasm, it further complicates with a marked hematological abnormalities. This study aims to determine the magnitude & severity of hematological abnormalities in HIV infected individuals and also to analyze these abnormalities in correlation with the CD4 counts. We also attempted to compare these hematological abnormalities in patients on ART and those not on ART. METHODS: The study was conducted  for a period of 30 days, on 120 HIV positive cases including both, patients on  ART  & not on ART. Controls with similar age & sex distribution was set up. The blood samples were collected and processed on automated cell counter & coagulometer. The parameters were analyzed with respect to CD4 count & ART status. RESULTS: Among the total of 120 HIV cases 77%  had anemia, 21% had leucopenia  and  5% had thrombocytopenia. The magnitude and severity of Anemia, Leucopenia, Thrombocytopenia and other parameters  was found to be  more in patients not on ART , when compared to patients on ART. Similarly, the magnitude and severity of most of  hematological abnormalities were inversely proportional to the CD4 count in non ART cases but not with cases on ART. CONCLUSION: The basic hematological parameters can be used as a prospective screening  test  to assess the severity & progression of  HIV infection when CD4 count is not available. These  parameters can be used to assess the response to Anti Retroviral treatment. Therefore, these basic hematological investigations readily available at all centers are of great use while treating HIV infected patients. Key words: Anemia, Leucopenia, Thrombocytopenia, HIV, CD4 Count, ART.
first_indexed 2024-12-19T21:38:56Z
format Article
id doaj.art-58e5b217a2744145a34ebf8ba40dbab3
institution Directory Open Access Journal
issn 2035-3006
language English
last_indexed 2024-12-19T21:38:56Z
publishDate 2014-08-01
publisher Mattioli1885
record_format Article
series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj.art-58e5b217a2744145a34ebf8ba40dbab32022-12-21T20:04:42ZengMattioli1885Mediterranean Journal of Hematology and Infectious Diseases2035-30062014-08-011HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.THULASI RAMAN RAMALINGAMABSTRACT BACKGROUND: HIV is now pandemic in India and other countries and is in its exponential phase. This infection though associated with many opportunistic infections and neoplasm, it further complicates with a marked hematological abnormalities. This study aims to determine the magnitude & severity of hematological abnormalities in HIV infected individuals and also to analyze these abnormalities in correlation with the CD4 counts. We also attempted to compare these hematological abnormalities in patients on ART and those not on ART. METHODS: The study was conducted  for a period of 30 days, on 120 HIV positive cases including both, patients on  ART  & not on ART. Controls with similar age & sex distribution was set up. The blood samples were collected and processed on automated cell counter & coagulometer. The parameters were analyzed with respect to CD4 count & ART status. RESULTS: Among the total of 120 HIV cases 77%  had anemia, 21% had leucopenia  and  5% had thrombocytopenia. The magnitude and severity of Anemia, Leucopenia, Thrombocytopenia and other parameters  was found to be  more in patients not on ART , when compared to patients on ART. Similarly, the magnitude and severity of most of  hematological abnormalities were inversely proportional to the CD4 count in non ART cases but not with cases on ART. CONCLUSION: The basic hematological parameters can be used as a prospective screening  test  to assess the severity & progression of  HIV infection when CD4 count is not available. These  parameters can be used to assess the response to Anti Retroviral treatment. Therefore, these basic hematological investigations readily available at all centers are of great use while treating HIV infected patients. Key words: Anemia, Leucopenia, Thrombocytopenia, HIV, CD4 Count, ART.https://mjhid.org/index.php/mjhid/article/view/1776HIVAnemiaLeukopeniaThrombocytopeniaCD4 countART
spellingShingle THULASI RAMAN RAMALINGAM
HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
Mediterranean Journal of Hematology and Infectious Diseases
HIV
Anemia
Leukopenia
Thrombocytopenia
CD4 count
ART
title HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
title_full HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
title_fullStr HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
title_full_unstemmed HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
title_short HEMATOLOGICAL ABNORMALITIES IN HIV INFECTED INDUVIDUALS IN CORRELATION TO CD4 COUNTS AND ART STATUS.
title_sort hematological abnormalities in hiv infected induviduals in correlation to cd4 counts and art status
topic HIV
Anemia
Leukopenia
Thrombocytopenia
CD4 count
ART
url https://mjhid.org/index.php/mjhid/article/view/1776
work_keys_str_mv AT thulasiramanramalingam hematologicalabnormalitiesinhivinfectedinduvidualsincorrelationtocd4countsandartstatus