Management of HIV-1 associated hepatitis in patients with acquired immunodeficiency syndrome: role of a successful control of viral replication
2011

Managing Liver Issues in HIV Patients

Sample size: 3 publication Evidence: low

Author Information

Author(s): Esposito Antonella, Conti Valentina, Cagliuso Maria, Pastori Daniele, Fantauzzi Alessandra, Mezzaroma Ivano

Primary Institution: Department of Clinical Medicine, 'Sapienza'- University of Rome, Rome, Italy

Hypothesis

Can effective antiretroviral therapy (HAART) control liver enzyme elevations in HIV-1 infected patients?

Conclusion

The study found that liver enzyme levels returned to normal after effective HAART was initiated in HIV-1 infected patients with elevated liver enzymes.

Supporting Evidence

  • All patients had severe immunodeficiency with CD4+ T cells less than 200/cu.mm.
  • Liver enzyme levels normalized after starting effective HAART.
  • No other causes of liver injury were identified in the patients.

Takeaway

When people with HIV have high liver enzyme levels, giving them the right medicine can help their liver feel better again.

Methodology

The study reported three case studies of HIV-1 infected patients with elevated liver enzymes and assessed their response to HAART.

Limitations

The study is based on only three case reports, limiting the generalizability of the findings.

Participant Demographics

All three patients were HIV-1 positive men with advanced immunodeficiency.

Digital Object Identifier (DOI)

10.1186/1742-6405-8-9

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