HIV 相关精神状态改变的评估

最后审阅: 5 Oct 2024
最后更新: 25 Jun 2024

小结

鉴别诊断

常见

  • 无症状性神经认知损害
  • 轻度神经认知障碍
  • 抗逆转录病毒药物不良反应
  • 弓形虫性脑炎/脓肿
  • 隐球菌性脑膜炎/脓肿
  • 结核分枝杆菌性脑膜炎/脓肿
  • 抑郁
  • 物质使用
  • 酒精使用障碍
  • 丙型肝炎混合感染
  • 乙型肝炎混合感染
  • 性腺功能减退
完整详情

不常见

  • HIV 相关性痴呆 (HAD)
  • 免疫重建炎症综合征
  • 神经梅毒
  • 巨细胞病毒(CMV)性脑炎
  • 进行性多灶性脑白质病
  • 疱疹病毒性脑炎
  • 水痘带状疱疹性脑炎
  • 原发性中枢神经系统 (CNS) 淋巴瘤
  • 维生素 B12 缺乏症
  • 卒中
  • 甲状腺功能减退
  • 肾上腺皮质功能不全
完整详情

撰稿人

作者

Marie-Josée Brouillette, MD, FRCPC

Associate Professor of Psychiatry/Consultant Psychiatrist

Chronic Viral Illness Service of the McGill University Health Centre

McGill University

Montreal

Canada

利益声明

MJB declares that she has no competing interests.

Mark Hull, MD, MHSc, FRCPC

Clinical Assistant Professor

University of British Columbia

Division of AIDS

Faculty of Medicine

Vancouver

Canada

利益声明

MH has received honoraria for speaking engagements and advisory boards from Gilead and Merck. These have been paid to his institution.

Marianne Harris, MD

Clinical Assistant Professor

University of British Columbia

Department of Family Practice

Faculty of Medicine

Vancouver

Canada

利益声明

MH has served as a consultant and/or advisory board member for Gilead Sciences Canada Inc., Merck Canada Inc., and ViiV Healthcare. Honoraria are administered by the institution.

鸣谢

Dr Marie-Josée Brouillette, Dr Mark Hull, and Dr Marianne Harris would like to gratefully acknowledge Dr Martin Repetto, the previous contributor to this topic.

利益声明

MR declares that he has no competing interests.

同行评议者

Joseph R. Zunt, MD, MPH

Associate Professor of Neurology

Harborview Medical Center

Seattle

WA

利益声明

JRZ has received funding from NIH for research.

John Frater, MB BS, PhD

Consultant in Infectious Diseases

Nuffield Department of Experimental Medicine

University of Oxford

Oxford

UK

利益声明

JF has received the MRC Clinician Scientist award.

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