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The Spectrum in the Heterosexual Population

Parkash S. Gill, MD; Alexandra M. Levine, MD; Paul R. Meyer, MD; Scott L. Aguilar, RN; Mark Rarick, MD; John W. Parker, MD; Suraiya Rasheed, PhD

Arch Intern Med. 1986;146(8):1501-1504.

Abstract
• Eleven heterosexual patients (nine women, two men) without classic risk factors for development of acquired immunodeficiency syndrome (AIDS) were seen between March 1983, and April 1985, and diagnosed as having AIDS (four), persistent, generalized lymphadenopathy (PGL) (four), or asymptomatic human T-cell lymphotropic virus type III (HTLV-III) carrier state (three). The clinical presentations and course of those with AIDS or PGL were similar to those reported in homosexual men with AIDS or PGL, with reversed T4/T8 ratio, and the presence of antibody to HTLV-III. Asymptomatic carriers had normal T4/T8 ratios, had an absence of HTLV-III antibodies, but had HTLV-III virus cultured from blood. We conclude that the heterosexual population, with or without history of sexual exposure to individuals at risk for AIDS, may develop a wide range of clinical manifestations secondary to HTLV-III, varying from AIDS to the asymptomatic carrier state.

(Arch Intern Med 1986;146:1501-1504)

Author Affiliations
From the Departments of Internal Medicine (Drs Gill, Levine, and Rarick and Mr Aguilar) and Pathology (Drs Meyer, Parker, and Rasheed), University of Southern California School of Medicine; the Kenneth Norris Jr Cancer Hospital and Research Institute (Drs Gill, Levine, Meyer, Rarick, Parker, and Rasheed and Mr Aguilar), and the Los Angeles Country-University of Southern California Medical Center (Drs Gill, Levine, Meyer, Rarick, Parker, and Rasheed and Mr Aguilar), Los Angeles.

Footnotes
Accepted for publication Nov 25, 1985.

Reprint requests to Los Angeles Country—University of Southern California Medical Center, 1200 N State St, Unit I, Room 14-442, Los Angeles, CA 90033 (Dr Gill).

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