Idiopathic Esophageal Ulcers in a Child with AIDS

Narwal, S.; Galeano, Narmer F.; Pottenger, Elaine; Kazlow, Philip; Husain, Sameera; DeFelice, Amy R.

doi:10.1097/00005176-199702000-00016

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…The idiopathic giant ulcers reported in a child by Narwal et al [5] and one of the two ulcers in our report were over 1.5 cm deep and had overhanging edges. Nevertheless, the radiographic appearance is nonspecific and ultimately biopsy is required for definitive diagnosis.…”

Section: Netta M Blitman Muhammad Alisupporting

confidence: 53%

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Idiopathic giant esophageal ulcer in an HIV-positive child

Blitman

Ali

2002

Pediatric Radiology

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We report a 3-year old HIV-positive female with a 2-cm deep ulcer in the mid-esophagus. A presumptive diagnosis of idiopathic giant ulcer was made after infectious pathogens had been excluded. The child was successfully treated with steroids. Although infectious causes of giant esophageal ulcers in HIV-positive children are common, the diagnosis of idiopathic giant ulcer must be considered in order to institute proper therapy.

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Section: Netta M Blitman Muhammad Alisupporting

confidence: 53%

“…Giant esophageal ulcers not due to any of the above etiologies are called giant HIV-related ulcers [2,3] or idiopathic giant ulcers [1,5]. During the past decade they have been encountered with increasing frequency [3].…”

Section: Netta M Blitman Muhammad Alimentioning

confidence: 99%

Idiopathic giant esophageal ulcer in an HIV-positive child

Blitman

Ali

2002

Pediatric Radiology

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“…The GI tract is the largest immunological site of the body and human immunodeficiency virus (HIV) infection profoundly impacts on gut function and disease development [19,20]. There are numerous GI problems in children in low-income countries and in particularly in HIV-infected children [20][21][22]. In low-income countries, it is estimated that diarrhoea may occur in as many as 80% of HIV-infected individuals [23].…”

Section: Gastrointestinal Tract: Function and Dysfunctionmentioning

confidence: 99%

“…The gastrointestinal (GI) tract is the largest immunological site of the body and HIV infection profoundly affects gut function (3)(4)(5)(6). There are numerous GI problems in children in low-income countries, particularly in those who are HIV infected (7)(8)(9). In low-income countries, diarrhoea may occur in up to 80% of HIV-infected individuals (10).…”

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confidence: 99%

Faecal Calprotectin in HIV‐infected, HAART‐naïve Ugandan Children

Hestvik

Olafsdottir

Tylleskär

et al. 2012

J. pediatr. gastroenterol. nutr.

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“…The gastrointestinal tract is the largest immunological site of the body and HIV infection profoundly impacts on gut function [3,4]. HIV-infected children are affected by numerous gastrointestinal problems [5]. …”

Section: Introductionmentioning

confidence: 99%

Prevalence of Helicobacter pylori in HIV‐infected, HAART‐naïve Ugandan children: a hospital‐based survey

Hestvik

Tylleskär

Ndeezi

et al. 2011

Journal of the International AIDS Society

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BackgroundThe aim of this survey was to determine the prevalence of and factors associated with Helicobacter pylori (H. pylori) colonization in HIV-infected, highly active antiretroviral therapy-naïve Ugandan children aged 0-12 years.MethodsIn a hospital-based survey, 236 HIV-infected children were tested for H. pylori colonization using a faecal antigen test. A standardized interview with socio-demographic information and medical history was used to assess risk factors. A cluster of differentiation 4 (CD4) cell percentage was prevalent in most children.ResultsThe overall prevalence of H. pylori in the HIV-infected children was 22.5%. Age-specific prevalence was as follows: up to one year, 14.7%; 1-3 years, 30.9%; and 3-12 years, 20.7%. HIV-infected children who were more seriously affected by their disease (low CD4 cell percentage or WHO clinical stage II-IV) were less likely to be colonized with H. pylori. There was a trend for a lower prevalence of H. pylori in children who had taken antibiotics for the preceding two weeks (21.6%) than in those who had not taken antibiotics (35.7%). There was no statistically significant difference in prevalence by gender, housing, congested living, education of the female caretaker, drinking water or toilet facilities.ConclusionsHIV-infected, HAART-naïve Ugandan children had a lower prevalence of H. pylori colonization compared with apparently healthy Ugandan children (44.3%). Children with a low CD4 cell percentage and an advanced clinical stage of HIV had an even lower risk of H. pylori colonization. Treatment with antibiotics due to co-morbidity with infectious diseases is a possible explanation for the relatively low prevalence.

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Idiopathic Esophageal Ulcers in a Child with AIDS

Cited by 5 publications

References 13 publications

Idiopathic giant esophageal ulcer in an HIV-positive child

Idiopathic giant esophageal ulcer in an HIV-positive child

Faecal Calprotectin in HIV‐infected, HAART‐naïve Ugandan Children

Prevalence of Helicobacter pylori in HIV‐infected, HAART‐naïve Ugandan children: a hospital‐based survey

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