Clinical features and risk factors for HIV encephalopathy in children

A prospective cohort study was conducted to determine the incidence of progressive encephalopathy (PE) and its associated clinical manifestations amongst a cohort of HIV infected children attending the HIV/AIDS clinic of the Pediatric Institute, Kuala Lumpur Hospital, Malaysia. Neurological and neu...

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Main Authors: Abd Hamid, Mohd Zaini, Aziz, Noor Azah, Syed Zakaria, Syed Zulkifli, Othman, Norlijah, Mohd Razali, Kamarul Azhar
Format: Article
Language:English
Published: Regional Tropical Medicine & Public Health Project 2008
Online Access:http://psasir.upm.edu.my/id/eprint/13607/1/Clinical%20features%20and%20risk%20factors%20for%20HIV%20encephalopathy%20in%20children.pdf
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author Abd Hamid, Mohd Zaini
Aziz, Noor Azah
Syed Zakaria, Syed Zulkifli
Othman, Norlijah
Mohd Razali, Kamarul Azhar
author_facet Abd Hamid, Mohd Zaini
Aziz, Noor Azah
Syed Zakaria, Syed Zulkifli
Othman, Norlijah
Mohd Razali, Kamarul Azhar
author_sort Abd Hamid, Mohd Zaini
collection UPM
description A prospective cohort study was conducted to determine the incidence of progressive encephalopathy (PE) and its associated clinical manifestations amongst a cohort of HIV infected children attending the HIV/AIDS clinic of the Pediatric Institute, Kuala Lumpur Hospital, Malaysia. Neurological and neurobehavioral assessments were performed in 55 children with HIV over a 24-month study period. Parameters assessed were physical and neurological assessments, CD4 counts, CD4 percentages, RNA viral loads and an IQ assessment at four monthly intervals. PE was diagnosed when patient developed at least one of the definitive criteria for PE based on the Consensus of Pediatric Neurology / Psychology Working Group, AIDS Clinical Trial 1996. The incidence of encephalopathy was 18.2% (n=10) in 2002. All the patients had hepatosplenomegaly, lymphadenopathy, abnormal deep tendon reflexes and five had impairment in brain growth. The CD4 counts and CD4 percentages were more likely to be associated with PE compared to the non-PE group.
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spelling upm.eprints-136072015-12-02T03:08:01Z http://psasir.upm.edu.my/id/eprint/13607/ Clinical features and risk factors for HIV encephalopathy in children Abd Hamid, Mohd Zaini Aziz, Noor Azah Syed Zakaria, Syed Zulkifli Othman, Norlijah Mohd Razali, Kamarul Azhar A prospective cohort study was conducted to determine the incidence of progressive encephalopathy (PE) and its associated clinical manifestations amongst a cohort of HIV infected children attending the HIV/AIDS clinic of the Pediatric Institute, Kuala Lumpur Hospital, Malaysia. Neurological and neurobehavioral assessments were performed in 55 children with HIV over a 24-month study period. Parameters assessed were physical and neurological assessments, CD4 counts, CD4 percentages, RNA viral loads and an IQ assessment at four monthly intervals. PE was diagnosed when patient developed at least one of the definitive criteria for PE based on the Consensus of Pediatric Neurology / Psychology Working Group, AIDS Clinical Trial 1996. The incidence of encephalopathy was 18.2% (n=10) in 2002. All the patients had hepatosplenomegaly, lymphadenopathy, abnormal deep tendon reflexes and five had impairment in brain growth. The CD4 counts and CD4 percentages were more likely to be associated with PE compared to the non-PE group. Regional Tropical Medicine & Public Health Project 2008-03 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/13607/1/Clinical%20features%20and%20risk%20factors%20for%20HIV%20encephalopathy%20in%20children.pdf Abd Hamid, Mohd Zaini and Aziz, Noor Azah and Syed Zakaria, Syed Zulkifli and Othman, Norlijah and Mohd Razali, Kamarul Azhar (2008) Clinical features and risk factors for HIV encephalopathy in children. The Southeast Asian Journal of Tropical Medicine and Public Health, 39 (2). pp. 266-272. ISSN 0125-1562 http://www.tm.mahidol.ac.th/seameo/journal_39_2_2008.html
spellingShingle Abd Hamid, Mohd Zaini
Aziz, Noor Azah
Syed Zakaria, Syed Zulkifli
Othman, Norlijah
Mohd Razali, Kamarul Azhar
Clinical features and risk factors for HIV encephalopathy in children
title Clinical features and risk factors for HIV encephalopathy in children
title_full Clinical features and risk factors for HIV encephalopathy in children
title_fullStr Clinical features and risk factors for HIV encephalopathy in children
title_full_unstemmed Clinical features and risk factors for HIV encephalopathy in children
title_short Clinical features and risk factors for HIV encephalopathy in children
title_sort clinical features and risk factors for hiv encephalopathy in children
url http://psasir.upm.edu.my/id/eprint/13607/1/Clinical%20features%20and%20risk%20factors%20for%20HIV%20encephalopathy%20in%20children.pdf
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