PMID- 19192228 OWN - NLM STAT- MEDLINE DCOM- 20091201 LR - 20211020 IS - 1440-1843 (Electronic) IS - 1323-7799 (Linking) VI - 14 IP - 4 DP - 2009 May TI - Pulmonary complications of immune reconstitution inflammatory syndromes in HIV-infected patients. PG - 486-94 LID - 10.1111/j.1440-1843.2008.01468.x [doi] AB - Immune reconstitution inflammatory syndrome (IRIS) describes a paradoxical worsening of clinical status related to recovery of the immune system, as can occur after the initiation of highly active antiretroviral therapy (HAART) in HIV-infected patients. Most commonly, IRIS results from opportunistic infections that can unmask or develop paradoxical worsening following HAART. Cancers, autoimmune conditions and sarcoidosis have also been associated with IRIS. Pulmonary complications may be frequently encountered. This article reviews the types and clinical presentation of IRIS, with a focus on the pulmonary manifestations. Management and outcome of IRIS are considered. FAU - Crothers, Kristina AU - Crothers K AD - Section of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. kristina.crothers@yale.edu FAU - Huang, Laurence AU - Huang L LA - eng GR - R01 HL090335-02/HL/NHLBI NIH HHS/United States GR - R01 HL090342/HL/NHLBI NIH HHS/United States GR - K24 HL087713/HL/NHLBI NIH HHS/United States GR - R01 HL090335/HL/NHLBI NIH HHS/United States GR - K24 HL087713-03/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - Australia TA - Respirology JT - Respirology (Carlton, Vic.) JID - 9616368 SB - IM MH - AIDS-Related Opportunistic Infections/*diagnosis/etiology/*therapy MH - Antiretroviral Therapy, Highly Active MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*diagnosis/etiology/*therapy MH - Lung Diseases, Fungal/diagnosis/*etiology/therapy MH - Tuberculosis, Pulmonary/diagnosis/*etiology/therapy RF - 64 EDAT- 2009/02/05 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/02/05 09:00 PHST- 2009/02/05 09:00 [entrez] PHST- 2009/02/05 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - RES1468 [pii] AID - 10.1111/j.1440-1843.2008.01468.x [doi] PST - ppublish SO - Respirology. 2009 May;14(4):486-94. doi: 10.1111/j.1440-1843.2008.01468.x.