BIEU HIEN DA NGI NHIEM HIV -AIDSBS. VO TH BACH SNGAI HOC Y DC TP.HCM

NH NGHA-HIV (Human Immunodeficiency Virus ):la virus gay hoi chng suy giam mien dch mac phai -AIDS (Acquired Immunodeficiency Syndrome ):la mot nhom bieu hien bi nhiem trung hoac bu th phat do suy giam mien dch te bao do retrovirus gay ra .

NH NGHA BN AIDS(CDC, 1993):

C GOI LA AIDS :khi co xet nghiem HIV + ong thi co so lng te bao CD4 500.

NG LAY -ng tnh duc :giao hp khong bao ve .-Tiem chch :chch ma tuy la ng lay thng gap tai VN .-Mau va cac san pham cua mau .-Nhan vien y te -Ghep c quan -Truyen t me sang con :trong t cung ,trong luc sanh va cho con bu

BIEU HIEN DA TREN NHIEM HIV -Co the bat c giai oan nao cua nhiem HIV.-Mot so benh da co t le phoi hp cao vi nhiem HIV ,do o khi chan oan thng phai tam soat HIV-Mot so benh da khac thng gap trong nhiem HIV va co the ch nh th HIV nh Zona ,Candida niem mac , (mieng hau,am ho am ao tai phat ), viem da tiet ba,aphte nang va keo dai .- ngi nhiem HIV bieu hien da a so nh ngi bnh thng nhng g AIDS co nhng bieu hien ac biet hn .

TOM TAT LAM SANG CAC BIEU HIEN DA TREN NHIEM HIV /AIDS NHIEM SIEU VI:-S NHIEM :Sot ,au c ,me ay Phat ban san than Hoi chng giong nhiem trung tang n nhan Hach toan than -HERPES SIMPLEX (thng gap )-ZONA (rat thng gap )-THUY AU (t gap )-U MEM LAY -MUN COC ,MONG GA (thng gap )-BACH SAN LONG DO EPSTEIN BAR VIRUS :Mang sui trang ,dnh mat tren li .

NHIEM NAM -CANDIDA ALBICANS ++++-LANG BEN ++-DERMATOPHYTE ++-CRYPTOCOCCUS NEOFORMANS :hiem -HISTOPLASMA CAPSULATUM :hiem -PENICILLIUM MARNEFFEI :khu vc NA

*NHIEM TRUNG : -TU CAU VANG +++ -GIANG MAI + *KY SINH TRUNG : -GHE :+++

CAC ROI LOAN *ROI LOAN TANG SINH : -Viem da tiet ba +++ -Vay nen + -San nga +++ -Viem nang long ai toan (hiem )*ROI LOAN MACH MAU: -Dan mach mau trc ngc -U mach nhiem trung (hiem ) -Ban xuat huyet giam tieu cau *ROI LOAN TAN SINH : -Sarcome KAPOSI -U lympho

CAC ROI LOAN (TT)-D NG THUOC -NGA -MONG VANG -MONG XANH -BACH BIEN (t )-TOC BAC SM (hay gap )

Pseudomembranous candidiasis(thrush)

LOET SINH DUC DO HERPES MAN TNH

Oral hairy leukoplakia

Kaposis sarcoma

Non-Hodgins lymphoma

MR: 32 yr-old white male with HIV, CD4=60; 8 day post extraction 30,31. Bx= malignant lymphoma highgrade, diffuse small noncleaved cell type

Erythematous candidiasis

Pseudomembranous candidiasis(thrush)

Human papilloma virus (HPV)

Human papilloma virus (HPV)

Labial HSV present over 1 month

NHIEU DERMATOME B THNG TON CUNG LUC (HIV AIDS)