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Title: [Digestive pathology in children infected with the human immunodeficiency virus (HIV), in Santiago de Chile]. Author: Tassara R, Alarcón T, Larrañaga C, Wu E, Alvarez AM. Journal: Rev Med Chil; 2003 Jan; 131(1):19-24. PubMed ID: 12643214. Abstract: BACKGROUND: Human immunodeficiency virus (HIV) epidemiology has changed, affecting an increasing number of children. As in adults, the disease predominantly affects the digestive and respiratory systems. AIM: To report the gastrointestinal problems in HIV infected pediatric patients. PATIENTS AND METHODS: Twenty four HIV infected children (nine male, aged 1 to 12 years old, followed for 1 to 170 months), are reported. This group has been under care by a multiprofessional team. RESULTS: Oral candidiasis was present in 21 (88%), esophagic candidiasis in 3 (13%), oral ulcers in 4 (17%). Diarrhea was observed in 18 children (75%) and in eight, it had a chronic evolution. Cryptosporidium parvum was the most frequent agent found in six cases (1 with acute and 5 with chronic diarrhea). Schlerosing cholangiopathy was observed in one case, with a fatal outcome, in association to microsporidiosis. Upper endoscopy was done in 11 patients, demonstrating microscopic inflammatory changes in esophagic, gastric and duodenal epithelia in all. CONCLUSIONS: Digestive problems are common in HIV infected pediatric patients. They must be always sought actively. Endoscopy is a valuable tool for the early diagnosis of these problems.[Abstract] [Full Text] [Related] [New Search]