Miopatia Y Neuropatia Por HIV

MIOPATIA Y NEUROPATIA POR HIV SHIRLEY N. GALLO DIAZ RESIDENTE MEDICINA INTERNA

Síndrome Miopático ,[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Principios generales . Neurol Colomb 2008

Síndrome Miopático ,[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Miopatía por HIV ,[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Patogénesis ,[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Diagnóstico ,[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Tratamient o ,[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

[object Object],[object Object],[object Object],[object Object],Tratamiento Muscle disease in HIV-infected patients. Uptodate 2009

Miopatía por NRTI ,[object Object],[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Miopatía por NRTI ,[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Miopatía por NRTI ,[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Tratamiento ,[object Object],[object Object],[object Object],[object Object],Muscle disease in HIV-infected patients. Uptodate 2009

Miositis por cuerpos de Inclusión ,[object Object],[object Object],[object Object],HIV infection and rheumatic diseases. Rheum Dis Clin N Am 35 (2009)

Miositis por cuerpos de Inclusión ,[object Object],[object Object]

Infecciones musculares ,[object Object],[object Object],[object Object],[object Object]

Muscle disease in HIV-infected patients. Uptodate 2009 HIV myopathy NRTI myopathy Toxoplasma myopathy Symptoms Myalgias symmetri proximal muscle weakness Myalgias, symmetric proximal muscle weakness Diffuse muscle wasting, weakness, muscle tenderness Muscle enzymes Markedly elevated (up to ten-fold) Markedly elevated (up to ten-fold) Usually increased EMG Myopathic changes Mild myopathic changes or normal Similar to polymyositis Muscle biopsy Mononuclear cell infiltrate Mitochondrial myopathy, no or mild inflammation, cytochrome C oxidase deficiency Necrosis, variable inflammation, intracellular cysts containing T. gondii organisms Treatment High dose corticostero Discontinue NRTI carnitine Pyrimethamine plus sulfadiazine

Neuropatia asociada a HIV ,[object Object],[object Object],Epidemiology, pathogenesis and clinical features of HIV-associated neuropathies. Uptodate 2009

Neuropatia asociada a HIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology, pathogenesis and clinical features of HIV-associated neuropathies. Uptodate 2009

[object Object],[object Object],[object Object],[object Object],[object Object],Neuropatia asociada a HIV Neurologic Manifestations of HIV. HIV In Site Knowledge Base Chapter June 2003

Neuropatia asociada a HIV ,[object Object],[object Object],[object Object],Diagnosis and Management of HIV-Associated Neuropathy Neurol Clin 26, 2008

Polineuropatia distal simétrica ,[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Principios generales. Act Neurol Colomb 2008

Polineuropatia distal simétrica ,[object Object],[object Object],[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Principios generales. Act Neurol Colomb 2008

Polineuropatia distal simétrica ,[object Object],[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Principios generales. Act Neurol Colomb 2008

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Polineuropatia distal simétrica

Polineuropatia desmielinizantes inflamatoria ,[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Act Neurol Colomb 2008

Polineuropatia desmielinizantes inflamatoria ,[object Object],[object Object],[object Object],[object Object]

Polineuropatia desmielinizantes inflamatoria ,[object Object],[object Object]

Polineuropatia desmielinizante inflamatoria ,[object Object],[object Object],[object Object],[object Object]

Polineuropatia desmielinizante inflamatoria ,[object Object],[object Object],[object Object]

Polirradiculopatía progresiva ,[object Object],[object Object],[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Act Neurol Colomb 2008

Polirradiculopatía progresiva ,[object Object],[object Object],[object Object],[object Object],[object Object]

Polirradiculopatía progresiva ,[object Object]

Mononeuropatía múltiple: ,[object Object],[object Object],[object Object],El virus de inmunodeficiencia humana VIH y el sistema nervioso. Act Neurol Colomb 2008

Mononeuropatía múltiple: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mononeuropatía múltiple: ,[object Object],[object Object]

BIBLIOGRAFIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Miopatia Y Neuropatia Por HIV

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