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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1992-2-24
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pubmed:abstractText |
Various treatments for HIV-related thrombocytopenia have been reported. Since etiologies of the thrombocytopenia may differ with regard to risk group treatment outcomes may also vary. We have recently studied the long-term use of zidovudine in individuals with sexually transmitted HIV infection and severe thrombocytopenia. Twenty-five men, median age 34 years (range, 23-51 years), were treated with zidovudine (1000 mg/day) for a median duration of 12 months (range, 2.5- less than 26 months). Nineteen patients (76%) had had episodes of symptomatic bleeding secondary to thrombocytopenia prior to study entry. All patients bleeding symptoms resolved with therapy. Six (24%) achieved a complete response, with normalization of platelet counts, while 11 patients (44%) achieved a partial response, giving an overall response rate of 68%. The median time to partial or complete normalization of platelet counts was 12 weeks (range, 4-62 weeks). Toxicities were minimal during the study period. Only one patient developed an AIDS-defining diagnosis while on therapy. We conclude that patients with sexually transmitted HIV infection and immune thrombocytopenia may need a prolonged period of therapy with zidovudine to achieve a platelet response. Other treatment modalities may be required for the 30% of patients who do not respond to zidovudine.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0269-9370
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
5
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1357-61
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1768385-Adult,
pubmed-meshheading:1768385-Drug Tolerance,
pubmed-meshheading:1768385-HIV Infections,
pubmed-meshheading:1768385-Humans,
pubmed-meshheading:1768385-Male,
pubmed-meshheading:1768385-Middle Aged,
pubmed-meshheading:1768385-Platelet Count,
pubmed-meshheading:1768385-Prognosis,
pubmed-meshheading:1768385-Thrombocytopenia,
pubmed-meshheading:1768385-Time Factors,
pubmed-meshheading:1768385-Zidovudine
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pubmed:year |
1991
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pubmed:articleTitle |
The long-term use of zidovudine in patients with severe immune-mediated thrombocytopenia secondary to infection with HIV.
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pubmed:affiliation |
Department of Internal Medicine, USC School of Medicine, Los Angeles 90033.
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pubmed:publicationType |
Journal Article
|