2001, Number 1
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Enf Infec Microbiol 2001; 21 (1)
Pathogenesis of the malnutrition associated with HIV
Sierra MJG, Pacheco VC
Language: Spanish
References: 15
Page: 2-6
PDF size: 82.44 Kb.
ABSTRACT
Malnutrition is a frequent event in advanced stages of HIV infection. Within malnutrition pathogenesis associated with HIV three factors have been taken into account as being the main responsible ones: deficient nutritional contribution, faulty absorption and metabolic alteration. Poor oral ingestion caused by upper intestine, or by adverse effects from multiple medicines that the patients are given contributes to the deficient intestinal absorption. The wide range of intestine infectious pathologies causing downiness atrophy is responsible for deficient intestinal absorption. Alterations in basal metabolism have been described consisting of hypercatabolic states usually associated to added infectious processes which are responsible for the so called weakening syndrome. This, however, has not been a uniform finding in studies evaluating basal metabolism in a large number of patients. Within the pharmacological treatments employed against the weakening syndrome associated to HIV infection, it can be found appetite stimulants such as megestrol and dronabinol, anabolic agents such as growth hormone and anabolic steroids. Another approach is the use of cytosine modulators which are considered take part in weakening pathogenesis.
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