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Lymphoid Interstitial Pneumonitis in Patients With the Human Immunodeficiency Virus: Usefulness of Alveolar Lymphocytes Gene by Polymerase Chain Reaction
Arch Intern Med. 2001;161:124.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In adult patients with the human immunodeficiency virus (HIV), lymphoid
interstitial pneumonitis (LIP) is part of a diffuse CD8-infiltrative lymphocytosis
syndrome.1 Lung biopsy is the criterion-standard
to diagnose LIP.2 Lymphoid interstitial
pneumonitis is characterized by a histologic pattern of diffuse infiltration
with predominantly small lymphocytes and plasma cells in the alveolar septa
and along the lymphatic vessels. In a recent study, gene rearrangement analysis
of alveolar lymphocytes by polymerase chain reaction (PCR) seemed to be sensitive
enough for the diagnosis of B-cell pulmonary non-Hodgkin lymphoma in immunocompetent
patients.3
Patients with HIV are at high risk for the development of non-Hodgkin
lymphoma characterized by an unusual extranodal involvement.4
Therefore, molecular biology techniques may be helpful in diagnosing lymphoid
pulmonary infiltrates in patients with HIV.
Report of Cases
Case 1
A 39-year-old, nonsmoking, Haitian, heterosexual man was known to be
HIV-seropositive since 1989. Four years later, he developed a worsening dyspnea
and cough. A chest radiograph and . . . [Full Text of this Article] Case 2 Comment
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