PMID- 11737357 OWN - NLM STAT- MEDLINE DCOM- 20020212 LR - 20191105 IS - 1464-2662 (Print) IS - 1464-2662 (Linking) VI - 1 IP - 4 DP - 2000 Oct TI - Is acute appendicitis another inflammatory condition associated with highly active antiretroviral therapy (HAART)? PG - 252-5 AB - OBJECTIVE: To report the occurrence of acute appendicitis as a possible manifestation of the immune restoration inflammatory syndrome (IRIS) following the commencement of highly active antiretroviral therapy (HAART) in HIV patients. DESIGN: Case-note review of HIV patients on HAART with acute appendicitis. METHODS: Review of HIV markers, antiretroviral therapy and abdominal ultrasound results of four HIV patients with acute appendicitis and the histopathology reports on the appendix in two of the patients. RESULTS: From a population of approximately 350 HIV patients on HAART, we found four patients who developed acute appendicitis within 6 months of commencing or changing HAART. CONCLUSION: Acute appendicitis occurring in HIV patients on HAART may represent a variant of IRIS. Further immunohistopathological and epidemiological evaluation will be needed to define this relationship fully. FAU - Aldeen, T AU - Aldeen T AD - Department of Genitourinary Medicine, St George's Hospital, London, UK. FAU - Horgan, M AU - Horgan M FAU - Macallan, D C AU - Macallan DC FAU - Thomas, V AU - Thomas V FAU - Hay, P AU - Hay P LA - eng PT - Case Reports PT - Journal Article PL - England TA - HIV Med JT - HIV medicine JID - 100897392 SB - IM MH - Acute Disease MH - Adult MH - Antiretroviral Therapy, Highly Active/*adverse effects MH - Appendicitis/*chemically induced/*immunology/physiopathology MH - Female MH - HIV Infections/*drug therapy MH - Humans MH - Immunocompromised Host MH - Inflammation/physiopathology MH - Male MH - Middle Aged EDAT- 2001/12/12 10:00 MHDA- 2002/02/13 10:01 CRDT- 2001/12/12 10:00 PHST- 2001/12/12 10:00 [pubmed] PHST- 2002/02/13 10:01 [medline] PHST- 2001/12/12 10:00 [entrez] AID - hiv037 [pii] AID - 10.1046/j.1468-1293.2000.00037.x [doi] PST - ppublish SO - HIV Med. 2000 Oct;1(4):252-5. doi: 10.1046/j.1468-1293.2000.00037.x.