AIM：To compare the clinical manifestation of cytomegalovirus（CMV）retinitis and microvascular retinopathy（MVR）in patients with acquired immunodeficiency syndrome（AIDS）in China.METHODS：A total of 93 consecutive ...AIM：To compare the clinical manifestation of cytomegalovirus（CMV）retinitis and microvascular retinopathy（MVR）in patients with acquired immunodeficiency syndrome（AIDS）in China.METHODS：A total of 93 consecutive patients with AIDS,including 41 cases of CMV retinitis and 52 cases of MVR were retrospectively reviewed.Highly active antiretroviral therapy（HAART）status was recorded.HIV and CMV immunoassay were also tested.CD4＋T-lymphocyte count and blood CMV-DNA test were performed in all patients.Aqueous humor CMV-DNA test was completed in 39patients.Ophthalmological examinations including best corrected visual acuity（BCVA,by International Standard Vision Chart）,intraocular pressure（IOP）,slit-lamp biomicroscopy,indirect ophthalmoscopy were performed.RESULTS：In MVR group,the anterior segment examination was normal in all patients with a mean BCVA of 0.93±0.13.Blood CMV-DNA was 0（0,269 000）and 42 patients（80.77%）did not receive HAART.In CMV retinitis group,13 patients（31.71%）had anterior segment abnormality.The mean BCVA was 0.64±0.35 and blood CMV-DNA was 3470（0,1 450 000）.Nineteen patients（46.34%）had not received HAART.MVR group and CMV retinitis group the positive rates of aqueous CMV-DNA were 0 and 50%,respectively.Two patients with MVR progressed to CMV retinitis during the follow-up period.CONCLUSION：In comparison of CMV,patients with MVR have relatively mild visual function impairment.Careful ophthalmological examination and close follow-up are mandatory,especially for patients who have systemic complications,positive CMV-DNA test and without received HAART.展开更多
目的了解冠心病（CHD）患者外周血单个核细胞（PBMCs）人巨细胞病毒（HCMV）-DNA存在情况并探讨其临床意义。方法应用实时荧光定量PCR（real time FQ-PCR）方法,对62例CHD患者,29例其他心血管疾病患者和30例健康体检者的PBMCs内HCMV-DN...目的了解冠心病（CHD）患者外周血单个核细胞（PBMCs）人巨细胞病毒（HCMV）-DNA存在情况并探讨其临床意义。方法应用实时荧光定量PCR（real time FQ-PCR）方法,对62例CHD患者,29例其他心血管疾病患者和30例健康体检者的PBMCs内HCMV-DNA进行定量检测。结果 CHD患者PBMCs的HCMV-DNA检出率41.9%,其他心血管疾病组10.3%,正常对照组10.0%,差异有统计学意义（P〈0.05）。CHD组HCMV-DNA载量介于103~105拷贝/ml者为12例,占阳性例数的46.1%（12/26）,介于105~106拷贝/ml者为8例,占阳性例数的30.7%（8/26）。结论 CHD患者PBMCs的HCMV感染可能在其致动脉粥样硬化性发病过程中发挥重要作用。展开更多
基金Supported by National Natural Science Foundation of China(No.8157089181272981)+2 种基金Beijing Natural Science Foundation(No.7151003)Capital Medical University Fundamental Clinical Research Cooperation Fund(No.16JL73)Beijing Municipal Administration of Hospitals’Ascent Plan(No.DFL20150201)
文摘AIM：To compare the clinical manifestation of cytomegalovirus（CMV）retinitis and microvascular retinopathy（MVR）in patients with acquired immunodeficiency syndrome（AIDS）in China.METHODS：A total of 93 consecutive patients with AIDS,including 41 cases of CMV retinitis and 52 cases of MVR were retrospectively reviewed.Highly active antiretroviral therapy（HAART）status was recorded.HIV and CMV immunoassay were also tested.CD4＋T-lymphocyte count and blood CMV-DNA test were performed in all patients.Aqueous humor CMV-DNA test was completed in 39patients.Ophthalmological examinations including best corrected visual acuity（BCVA,by International Standard Vision Chart）,intraocular pressure（IOP）,slit-lamp biomicroscopy,indirect ophthalmoscopy were performed.RESULTS：In MVR group,the anterior segment examination was normal in all patients with a mean BCVA of 0.93±0.13.Blood CMV-DNA was 0（0,269 000）and 42 patients（80.77%）did not receive HAART.In CMV retinitis group,13 patients（31.71%）had anterior segment abnormality.The mean BCVA was 0.64±0.35 and blood CMV-DNA was 3470（0,1 450 000）.Nineteen patients（46.34%）had not received HAART.MVR group and CMV retinitis group the positive rates of aqueous CMV-DNA were 0 and 50%,respectively.Two patients with MVR progressed to CMV retinitis during the follow-up period.CONCLUSION：In comparison of CMV,patients with MVR have relatively mild visual function impairment.Careful ophthalmological examination and close follow-up are mandatory,especially for patients who have systemic complications,positive CMV-DNA test and without received HAART.
文摘目的了解冠心病（CHD）患者外周血单个核细胞（PBMCs）人巨细胞病毒（HCMV）-DNA存在情况并探讨其临床意义。方法应用实时荧光定量PCR（real time FQ-PCR）方法,对62例CHD患者,29例其他心血管疾病患者和30例健康体检者的PBMCs内HCMV-DNA进行定量检测。结果 CHD患者PBMCs的HCMV-DNA检出率41.9%,其他心血管疾病组10.3%,正常对照组10.0%,差异有统计学意义（P〈0.05）。CHD组HCMV-DNA载量介于103~105拷贝/ml者为12例,占阳性例数的46.1%（12/26）,介于105~106拷贝/ml者为8例,占阳性例数的30.7%（8/26）。结论 CHD患者PBMCs的HCMV感染可能在其致动脉粥样硬化性发病过程中发挥重要作用。
