       Document 0214
 DOCN  M9620214
 TI    HIV infection: analysis in 259 consecutive patients with abnormal
       abdominal CT findings.
 DT    9602
 AU    Radin R; Department of Radiology, University of Southern California
       School; of Medicine, Los Angeles County-University of Southern
       California; Medical Center 90033, USA.
 SO    Radiology. 1995 Dec;197(3):712-22. Unique Identifier : AIDSLINE
       MED/96072856
 AB    PURPOSE: To evaluate abdominal computed tomographic (CT) findings in
       patients with human immunodeficiency virus (HIV) infection. MATERIALS
       AND METHODS: CT scans with abnormal findings in 259 patients (247 men,
       12 women; age range, 21-60 years) with HIV infection were analyzed.
       Diagnoses were mycobacterial infection (n = 87), lymphoproliferative
       disease (n = 63), Kaposi sarcoma (n = 17), fungal infection (n = 17),
       hepatocellular disease (n = 13), Pneumocystis carinii infection (n = 8),
       other disorders (n = 39), or unknown (n = 30). RESULTS: Abnormal
       findings included lymph-node enlargement (n = 159), hepatomegaly (n =
       100), splenomegaly (n = 62), gastrointestinal mass or wall thickening (n
       = 61), and low-attenuation lesions in the liver (n = 50) or spleen (n =
       55). Diagnoses thought to account for CT findings were made (n = 229) or
       suspected (n = 18) in 247 (95%) of the 259 patients. CONCLUSION: In most
       patients with HIV infection, abnormal abdominal CT findings are due to a
       second disease. Even relatively nonspecific findings should not be
       ascribed to HIV infection and should prompt a search for an
       opportunistic infection or neoplasm.
 DE    Abdomen/*RADIOGRAPHY  Abdominal Neoplasms/RADIOGRAPHY  Adult
       AIDS-Related Opportunistic Infections/*RADIOGRAPHY  Bile Duct
       Diseases/RADIOGRAPHY/VIROLOGY  Diagnosis, Differential  Female
       Hepatomegaly/RADIOGRAPHY  Histoplasmosis/RADIOGRAPHY  Human  HIV
       Infections/*RADIOGRAPHY  Intestinal Diseases/RADIOGRAPHY/VIROLOGY  Liver
       Diseases/RADIOGRAPHY/VIROLOGY  Lymphoma, AIDS-Related/RADIOGRAPHY
       Lymphoma, Non-Hodgkin's/RADIOGRAPHY  Lymphoproliferative
       Disorders/RADIOGRAPHY  Male  Middle Age  Mycobacterium
       avium-intracellulare Infection/RADIOGRAPHY  Mycobacterium
       Infections/RADIOGRAPHY  Mycoses/RADIOGRAPHY  Pneumocystis carinii
       Infections/RADIOGRAPHY  Sarcoma, Kaposi's/RADIOGRAPHY
       Splenomegaly/RADIOGRAPHY  *Tomography, X-Ray Computed
       Tuberculosis/RADIOGRAPHY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

