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Long-Term Follow-up of HIV Positive Asymptomatic Patients Having Received Cyclosporin A

  • Rafaël Levy
  • Jean-Philippe Jais
  • Jean-Marc Tourani
  • Philippe Even
  • Jean-Marie Andrieu
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 374)

Summary

The data of the 27 asymptomatic HIV-1 seropositive patients with CD4 + cell count between 300 and 600/µl treated by Cyclosporin A (CSA) (7.5 mg/kg/day) in our institution between october 1985 and 1987 were rewiewed in October 1993. Hemoglobin concentration, platelet count, total lymphocytes, CD4+ and CD8+ cell counts and serum core protein p24 antigenemia, as well as creatininemia measured before CSA onset, at CSA cessation and twice a year were recorded as well as clinical signs and CSA toxicities. In October 1993 median duration of CSA treatment was 11 months, median follow-up after CSA cessation was 45 months and median total follow-up was 67 months. Toxicities of CSA were those commonly encountered in other pathologies. Under CSA no patient progressed toward clinical AIDS (1987 definition). The mean CD4+ cell count of the 27 patients remained unchanged (gain of 1 cell/year) under CSA treatment, while it decreased at a rate of 50 cells/year after CSA cessation (p<0,005). On the other hand CSAtreatment had no significant impact on the evolution of total lymphocyte count, CD8+ cell counts, and P24 antigenémia.

Keywords

Human Immunodeficiency Virus Human Immunodeficiency Virus Type Human Immunodeficiency Virus Disease Total Lymphocyte Count Immunosuppressive Drug Cyclosporin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Rafaël Levy
    • 1
    • 2
  • Jean-Philippe Jais
    • 1
    • 2
  • Jean-Marc Tourani
    • 1
    • 2
  • Philippe Even
    • 1
    • 2
  • Jean-Marie Andrieu
    • 1
    • 2
  1. 1.Département de Médecine InterneHôpital Laennec Faculté NeckerParisFrance
  2. 2.Département de BiostatistiqueHôpital Necker Faculté NeckerParisFrance

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