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1 ,**, The Japanese Society for AIDS Research The Journal of AIDS Research HIV, ,,, +, : HIV : +322,*** HIV,0,, :., n,0,, , CD. +3-ml n,, AIDS 3 ARC 3 +* 1. A, MSM Men who have Sex with Men HIV. ARC - - : , +.,,1* +,.,- HIV :HIV. : +1,,,**, HIV,0,, ,,*** +,,0 HIVAIDS HIVAIDS HIVAIDS ,*** +, +, : +0, Fax : *---/2233/, itoda@clabo.zengaku. twmu.ac.jp,**+, +3 ;,**+ 2,+ + HIV HIV + HIV, +, +,+1..,.* n,0-1.++*./ +,,

2 I Itoda et al. :Clinical Analysis of,0 HIV/AIDS Cases at Tokyo Women s Medical University Hospital + HIV HIV + HIV, /* -, +, 2 2,,., /2 CD.,/11ml +3-ml, n,, AIDS 3 CD. 2/ml,/11ml ARC 2,1/ml 2./-,ml AC /,/,ml +-.+.ml CD.,**ml AIDS p*.*+ AIDS -, + RPR TPLA RPR TPLA 03 MSM Men who have Sex with Men. A, MSM -, +2 +2

3 The Journal of AIDS Research Vol.. No. +,**,, -, HIV 0 / / /, + + +, HIV +/ - +, +/ +- HAART HIV +* +0.** ml 0 0 /* ml d.t-tcefv. d.t-tc NFV, AZT-TCNFV, d.t-tcrtv SQV + AZT-TCEFV + - HIV HIV. ARC, - HIV

4 I Itoda et al. :Clinical Analysis of,0 HIV/AIDS Cases at Tokyo Women s Medical University Hospital. HIV , HIV HIV HIV * +,*, *,-2. HIV. HIV HIV HIV HAART HIV +33/, -,. NPO HIV,*,*

5 The Journal of AIDS Research Vol.. No. +,**,,**+ HIVAIDS , / HIV +.,,1* +,.,- HIV STD MSM 0,*** HIV 10.. HIV HIV + HIV AIDS : AIDS HIV HIV : +,-.,***, : Up to Date /- :.,..,/ : +2-+ : 2-2/ : *,21-.0/, 30 : / : Minophagen Medical Review./, : /+/0,*** 0 : +,,***,+,+

6 I Itoda et al. :Clinical Analysis of,0 HIV/AIDS Cases at Tokyo Women s Medical University Hospital Clinical Analysis of,0 HIV/AIDS Cases at Tokyo Women s Medical University Hospital Ichiro ITODA +,Hiroko HIDAI +,KenKIKUCHI +,Hisashi YAMAURA +, Kyoichi TOTSUKA +,Sumio TAKAHASHI,,Hiroshi OSADA, and Masaru SHIMIZU, + Department of Infectious Diseases, Tokyo Women s Medical University Hospital, Department of Transfusion Medicine, Tokyo Women s Medical University Hospital Objective :Toinvestigate clinical manifestations and the backgrounds of HIV/AIDS cases experienced at Tokyo Women s Medical University Hospital. Materials and Method :Twenty-two medical records out of a total of,0 cases experienced between +322 and,*** were investigated. Results :All cases involved male patients, the mean age was., (,+1., n,0), and,, were Japanese, while the remaining. were foreigners. The numbers of heterosexual and homosexual patients were equal. The mean CD. level when the HIV antibody turned positive was +3-/ml (,/11, n,,). AIDS defined illnesses were observed in 3 patients and ARC in 3 cases. The most frequently observed opportunistic illnesses were candidiasis and Pneumocystis carinii pneumonia, in that order. The following STI (sexually transmitted infections) were also observed : 1 cases with active syphilis,. cases with amebiasis, and, cases with hepatitis A. Of these, most patients had been known MSM (men who have sex with men). Four cases were discovered to be positive in routine HIV testing before surgery or procedure, - cases were diagnosed during the treatment for illnesses other than HIV infection, and - cases were found after admission to the emergency room. Conclusion :Tokyo Women s Medical University Hospital is a teaching hospital in Tokyo with +,.,- beds which treats.,,1* outpatients per day. An increasing number of HIV patients are dealt with on a daily basis because of the increasing number of HIV patients in the Tokyo community and also due to routine HIV testing inside the hospital. Taken as a whole, these trends can be considered an indicator of the need for better preparedness at a working hospital, not only within the STI department and emergency rooms, but also as part of routine HIV testing. Key words : HIV infection, sexually transmitted diseases, screening testing,,,,

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