RESUMO
Seven patients of Haitian and Central African origin were investigated for interstitial pneumonitis and unexplained chronic lymphadenopathy. A study of broncho-alveolar lavage fluid showed no opportunistic micro-organisms and disclosed a high alveolar lymphocyte count with more than 80% T8+ cells. In 3 patients, open lung biopsy showed lymphoid interstitial pneumonitis. Follicular hyperplasia was a constant finding in lymph nodes. Benign lymphocytic infiltration was found in other organs of all patients, associated with polyclonal hyperimmunoglobulinaemia, low peripheral T4+ cell count and LAV-Ig G antibodies.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Doenças Linfáticas/etiologia , Fibrose Pulmonar/etiologia , Síndrome da Imunodeficiência Adquirida/imunologia , Adulto , África Central/etnologia , População Negra , Feminino , França , Haiti/etnologia , Humanos , Pulmão/diagnóstico por imagem , Masculino , Alvéolos Pulmonares/patologia , Fibrose Pulmonar/diagnóstico por imagem , Radiografia , Linfócitos T/classificação , Fatores de TempoRESUMO
An abdominal computed tomographic examination was performed to 20 patients with Acquired Immunodeficiency Syndrome (AIDS) and to 5 patients with Lymphadenopathy Syndrome (LAS). Intraabdominal lymph nodes were seen in 18 out of 20 cases of AIDS and in 5 cases of LAS. Lymph nodes have a normal size or are slightly enlarged but they are too numerous. Splenomegaly was found in 17 patients. Rectal modifications secondary to a proctitis were seen in the homosexual patients.