Alterações metabólicas da síndrome lipodistrófica do HIV

The introduction of highly active antiretroviral therapy (HAART) has reduced morbidity and mortality in patients infected with the human immunodeficiency virus (HIV). However, prolonged treatment with combination regimens can be difficult to sustain because of problems with adherence and toxic effec...

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Detalles Bibliográficos
Autores: Valente, Angélica Marques Martins [UNIFESP], Reis, André Fernandes [UNIFESP], Machado, Daisy Maria [UNIFESP], Succi, Regina Célia de Menezes [UNIFESP], Chacra, Antonio Roberto [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2005
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/2831
Acceso en línea:http://dx.doi.org/10.1590/S0004-27302005000600004
http://repositorio.unifesp.br/handle/11600/2831
Access Level:acceso abierto
Palabra clave:Lipodystrophy syndrome HIV
AIDS
HIV
Lipodystrophy
Metabolic syndrome HIV
Síndrome lipodistrófica do HIV
Lipodistrofia
Síndrome metabólica do HIV
Descripción
Sumario:The introduction of highly active antiretroviral therapy (HAART) has reduced morbidity and mortality in patients infected with the human immunodeficiency virus (HIV). However, prolonged treatment with combination regimens can be difficult to sustain because of problems with adherence and toxic effects. Treatment with antiretroviral agents - protease inhibitors in particular - has uncovered a syndrome of abnormal fat redistribution, impaired glucose metabolism, insulin resistance and dyslipidemia, collectively termed lipodystrophy syndrome (SLHIV). Nowadays, no clinical guidelines are available for the prevention or treatment of SLHIV, and its cause have yet to be totally elucidated. This review emphasizes the clinical features and the data from previous studies about the SLHIV taking into account that a better understanding of this syndrome for HIV specialists, cardiologists and endocrinologists is fundamental for the disease control.