Rheumatic Diseases and Metabolic Complications in HIV/AIDS Patients with Highly Efficient Antiretroviral Treatment

Authors

  • Gil Alberto Reyes Llerena Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba
  • Marlene Guibert Toledano Centro de Reumatología. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.
  • A Torres Figueroa Instituto de Medicina Tropical Pedro Kourí. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba
  • A Navarro Camero Instituto de Medicina Tropical Pedro Kourí. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.
  • Roberto Torres Carballeira Centro de Reumatología. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba
  • Gil Reyes Guibert Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.
  • Mirta Miranda Ley Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba

Keywords:

rheumatic diseases, metabolic complications, HIV/AIDS, highly efficient antiretroviral treatment

Abstract

Introduction: HIV/AIDS infection is one of the main health problems worldwide, with high morbidity and mortality. Different epidemiological studies have confirmed that 36.3 million people worldwide were living with HIV until 2015. So far, 78 million have been infected since 1981, the year in which the epidemic began, and 25% of patients do not know they are infected, which spreads infection. 
Objective: To carry out a literature review about HIV/AIDS infection, its complications in rheumatic metabolic manifestations, and its response to highly efficient antiretroviral treatment. 
Method: A literature search was carried out in the databases PudMedMEDLINECumedand Lilac, as well as in the regional information sources SciELO and ScienceDirect, using the key phrases manifestaciones reumáticas y VIH-SIDA [rheumatic manifestations and HIV-AIDS],complicaciones metabólicas y VIH-SIDA [metabolic complications and HIV-AIDS],tratamiento antirretroviral de alta eficiencia y VIH-SIDA [ high-efficiency antiretroviral treatment and HIV-AIDS], in order to recover the articles about HIV-AIDS and rheumatic and metabolic complications and their response to highly efficient antiretroviral treatment. 
Results: 78 articles and nine texts dealing about the aforementioned topics were recovered; of them, 55 documents that are part of our bibliographical references were useful for our purposes, which were grouped according to the different topics proposed for this study. We reached useful conclusions for our scientific community.
Conclusions: Rheumatic and autoimmune diseases have been diagnosed very frequently in patients infected with HIV/AIDS in Cuba and worldwide during the era prior to highly efficient antiretroviral treatment. Its incorporation into the therapeutic approach has increased the survival expectations of these patients, in addition to the substantial decrease in the appearance of clinical symptoms and conditions, especially the inflammatory arthritic conditions, seronegative spondyloarthropathies, psoriasis and opportunistic infections.

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Author Biographies

Gil Alberto Reyes Llerena, Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba

Dr. en Ciencias Médica. Especialista de 1er Grado en Medicina Interna, 2do Grado en Reumatología.

Marlene Guibert Toledano, Centro de Reumatología. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.

Dra. en Ciencias Médica. Especialista de  2do Grado en Reumatología.

A Torres Figueroa, Instituto de Medicina Tropical Pedro Kourí. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba

Especialista de 1er Grado en Medicina Interna.

A Navarro Camero, Instituto de Medicina Tropical Pedro Kourí. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.

Especialista de 1er Grado en Medicina Interna.

Roberto Torres Carballeira, Centro de Reumatología. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba

Especialista de 2do Grado en Reumatología.

Gil Reyes Guibert, Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba.

Interno de 6to año de Medicina.

Mirta Miranda Ley, Centro de Investigaciones Médico Quirúrgicas. Universidad de Ciencias Médicas de La Habana. La Habana. Cuba

Especialista de 1er Grado en Medicina General Integral y 2do Grado en Medicina Interna.

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Published

2018-12-12

How to Cite

1.
Reyes Llerena GA, Guibert Toledano M, Torres Figueroa A, Navarro Camero A, Torres Carballeira R, Reyes Guibert G, et al. Rheumatic Diseases and Metabolic Complications in HIV/AIDS Patients with Highly Efficient Antiretroviral Treatment. Rev. cuba. de Reumatol. [Internet]. 2018 Dec. 12 [cited 2025 Dec. 25];20(3):e33. Available from: https://revreumatologia.sld.cu/index.php/reumatologia/article/view/650

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Section

Review article