高CD4n +T淋巴细胞计数的人类免疫缺陷病毒感染者并发播散性卡波西肉瘤1例n

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卡波西肉瘤属于艾滋病定义性疾病,常见于CD4n +T淋巴细胞计数明显降低(<200/μL)的人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者。本研究报道1例高CD4n +T淋巴细胞计数(284~338/μL)的HIV感染并发播散性卡波西肉瘤(累及口腔和肺)患者。患者入院后完善相关检查未发现机会性感染依据,予经验性抗感染治疗后病情仍有进展,后经过抗反转录病毒治疗及多柔比星脂质体静脉滴注化学治疗,病情逐渐好转。本病例提示,高CD4n +T淋巴细胞计数不应作为HIV感染者并发播散性卡波西肉瘤的排除标准。n
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