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Pediatr Pathol Mol Med ; 20(6): 537-45, 2001.
Article in English | MEDLINE | ID: mdl-11699578

ABSTRACT

Liver tissue from autopsies of twenty-nine cases of children with AIDS were collected from three major South America (S.4) pediatric hospitals. The hepatopathologic findings were classified in the same fashion as in a series of sixty-one children with AIDS from North America (NA): inflammation, non-specific, lymphoproliferative disorders, and giant cell transformation. By comparing both groups. we noted that the SA children were Younger at time of death consistent with a more rapid progression of the disease. Opportunistic infections varied with a higher prevalence of Cytomegalovirus (CMV) infection in SA children. The histopathologic features of CMV in the liter of SA children were associated with a conspicuous inflammation absent in the NA group. Finally, different non-specific hepatic changes were found in SA children, including one case of peliosis hepatis.


Subject(s)
Acquired Immunodeficiency Syndrome/pathology , Liver/pathology , AIDS-Related Opportunistic Infections/pathology , Child, Preschool , Cytomegalovirus Infections/complications , Cytomegalovirus Infections/pathology , Female , Hepatitis, Viral, Human/complications , Hepatitis, Viral, Human/pathology , Humans , Infant , Infant, Newborn , Liver Diseases/complications , Liver Diseases/pathology , Male , North America , South America
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