PMID- 20229799 OWN - NLM STAT- MEDLINE DCOM- 20100422 LR - 20110727 IS - 0047-1852 (Print) IS - 0047-1852 (Linking) VI - 68 IP - 3 DP - 2010 Mar TI - [Management of immune reconstitution inflammatory syndrome]. PG - 508-11 AB - While antiretroviral therapy(ART) in HIV-infected patients results in dramatic reductions in HIV viral load and subsequent improvements in CD4 cell count, part of patients experience clinical deterioration as a direct consequence of rapid and dysregulated restoration of antigen-specific immune responses. This is termed "immune reconstitution inflammatory syndrome (IRIS)." Because there is no single agreed upon definition for IRIS, the diagnosis of IRIS is clinical. Several studies have demonstrated that lower CD4 cell count and higher viral load at the initiation of ART increase the risk of developing IRIS. Management of IRIS consists of appropriate treatment for the diseases of IRIS, control of the excessive inflammation (NSAIDs or corticosteroids), and interrupting ART. FAU - Konishi, Mitsuru AU - Konishi M AD - Center for Infectious Diseases, Nara Medical University. FAU - Uno, Kenji AU - Uno K FAU - Yoshimoto, Eiichiro AU - Yoshimoto E LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Nihon Rinsho JT - Nihon rinsho. Japanese journal of clinical medicine JID - 0420546 SB - IM MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/diagnosis/*therapy RF - 8 EDAT- 2010/03/17 06:00 MHDA- 2010/04/23 06:00 CRDT- 2010/03/17 06:00 PHST- 2010/03/17 06:00 [entrez] PHST- 2010/03/17 06:00 [pubmed] PHST- 2010/04/23 06:00 [medline] PST - ppublish SO - Nihon Rinsho. 2010 Mar;68(3):508-11.