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Lupus, Vol. 11, No. 1, 60-63 (2002)
DOI: 10.1191/0961203302lu141cr
© 2002 SAGE Publications

Human immunodeficiency virus infection and systemic lupus erythematosus. An unusual case and a review of the literature

R Palacios

Infectious Diseases Unit, Internal Medicine Service, Virgen de la Victoria Hospital, Málaga, Spain

J Santos

Infectious Diseases Unit, Internal Medicine Service, Virgen de la Victoria Hospital, Málaga, Spain; C/Anea 22, 29190 Málaga, Spain med000854{at}nacom.es

P Valdivielso

M Márquez

Infectious Diseases Unit, Internal Medicine Service, Virgen de la Victoria Hospital, Málaga, Spain

Systemic lupus erythematosus (SLE) and infection with the human immunodeficiency virus (HIV) are rarely seen in the same patient. Both diseases share clinical and serological features and the differential diagnosis is difficult, with renal manifestations being of special interest. To date, 29 cases of association between the two diseases have been reported, but the diagnosis was simultaneous in just two of these and only 18 fulfilled the ARA criteria for the diagnosis of SLE. Most patients experienced an improvement in their SLE after development of their HIV associated immunosuppression and a reactivation of lupus manifestations has also been noted after immunological recovery secondary to antiretroviral therapy. We present the case of a woman in whom HIV and SLE with renal involvement were diagnosed simultaneously.

Key Words: systemic lupus erythematosus • human immunodewficiency virus


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