Rheumatologic conditions in HIV

Question 1

Rheumatologic conditions in HIV?

Answer 1

HIV-positive patients have pain and inflammation in joints or soft tissues from HIV infection. They may have rheumatic diseases likeseptic arthritis, reactive arthritis, gout , myositis, osteomyelitis, psoriatic arthritis, polymyositis, fibromyalgia, vasculitis, and others.

Question 2

Epidemiology

Answer 2

• non-erosive oligoarthritis
• • legs
• • unknown cause
• • 1% of patients
• • self limiting
• less than 6 weeks

Question 3

Reiter’s syndrome (reactive arthritis)

Answer 3

more common in HIV postive patients who are HLA-B27 positve.

They are treated with HIV suppression and TNF-alpha antagonists.