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Wadhwa S, Levit M, Matsumura S, Hsieh SJ, Kister K, Silva C, Shah J, Cantos A, Bohn B, Demmer RT, Yin MT. Evaluation of the mandibular condylar bone microarchitecture in people living with HIV. Oral Dis 2024; 30:2355-2361. [PMID: 37338087 PMCID: PMC10730762 DOI: 10.1111/odi.14651] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/24/2023] [Accepted: 06/06/2023] [Indexed: 06/21/2023]
Abstract
OBJECTIVES People living with HIV (PLWH) have been shown to have lower bone density at the spine, hip, and radius. However, whether a similar bone phenotype is seen in craniofacial bones is not known. The goal of this study was to evaluate the bone microarchitecture of the mandibular condyle in PLWH. METHODS We recruited 212 participants, which included 88 HIV-negative participants and 124 PLWH on combination antiretroviral therapy with virological suppression from a single academic center. Each participant filled out a validated temporomandibular disorder (TMD) pain screening questionnaire and had cone beam computed tomography (CBCT) of their mandibular condyles. Qualitative radiographic evidence of temporomandibular joint disorders-osteoarthritis (TMJD-OA) assessment and quantitative microarchitecture analysis of their mandibular condylar bones were conducted. RESULTS There was no statistically significant difference in either self-reported TMD or in radiographic evidence of TMJD-OA in PLWH compared with HIV-negative controls. Linear regression analysis revealed that positive HIV status remained significantly associated with increased trabecular thickness, decreased cortical porosity, and increased cortical bone volume fraction after adjusting for race, diabetes, sex, and age. CONCLUSION PLWH have increased mandibular condylar trabecular bone thickness and cortical bone volume fraction compared with HIV-negative controls.
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Affiliation(s)
- Sunil Wadhwa
- Columbia University College of Dental Medicine, Division of Orthodontics
| | - Michael Levit
- Columbia University College of Dental Medicine, Division of Orthodontics
| | - Satoko Matsumura
- Columbia University College of Dental Medicine, Division of Oral and Maxillofacial Radiology
| | - Shin Jung Hsieh
- Columbia University College of Dental Medicine, Division of Orthodontics
| | - Karolina Kister
- Columbia University College of Dental Medicine, Division of Orthodontics
| | - Cleber Silva
- Columbia University College of Dental Medicine, Division of Oral and Maxillofacial Radiology
| | - Jayesh Shah
- Columbia University College of Physicians and Surgeons, Division of Infectious Diseases
| | - Anyelina Cantos
- Columbia University College of Physicians and Surgeons, Division of Infectious Diseases
| | - Bruno Bohn
- University of Minnesota, School of Public Health
| | | | - Michael T. Yin
- Columbia University College of Physicians and Surgeons, Division of Infectious Diseases
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Attallah MA, Jarrin Jara MD, Gautam AS, Peesapati VSR, Khan S. A Review of the Use of Biological Agents in Human Immunodeficiency Virus Positive Patients With Rheumatological Diseases. Cureus 2020; 12:e10970. [PMID: 33209528 PMCID: PMC7667623 DOI: 10.7759/cureus.10970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 10/15/2020] [Indexed: 11/05/2022] Open
Abstract
After approval, initial biologics etanercept, infliximab, and adalimumab became useful in the therapeutic armamentarium to treat rheumatoid arthritis (RA) patients who had an inadequate response to disease-modifying anti-rheumatic drugs (DMARDs). However, all phase-III clinical trials submitted to the FDA, by design, excluded patients who were human immunodeficiency virus (HIV) positive. They are another subset of patients with low immunity due to their HIV-positive status. Very little information is available about the use of biologics in this new group of patients if they fail to respond to DMARDS. The available literature is limited to case reports about HIV-positive RA patients with reported side effects. These side effects range from no opportunistic infections (OIs) in some to acute respiratory distress syndrome (ARDS) and disseminated intravascular coagulopathy (DIC) reported in others. Some HIV cases may initially present with rheumatological manifestations. With growing epidemiologic evidence of frequent joint manifestations in HIV-positive patients, HIV testing should be done more frequently in patients with RA, even those who deny risk factors for HIV. This review may help develop future guidelines on how to manage HIV-positive RA patients.
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Affiliation(s)
- Marline A Attallah
- Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA
| | | | - Avneesh S Gautam
- Medicine and Surgery, Bharati Vidyapeeth Medical College, Pune, IND
- Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA
| | | | - Safeera Khan
- Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA
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da Silva GP, Ferreira B, Siéssere S, Regalo IH, Esposto DS, Gonçalves CR, Arnoni VW, Verri ED, Vasconcelos PB, Vasconcelos MAC, Machado AA, Regalo SCH. Functional analysis of lower limbs in individuals infected with the human immunodeficiency virus. Int J Health Sci (Qassim) 2018; 12:37-42. [PMID: 29599693 PMCID: PMC5870331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
OBJECTIVES The objective of this research was to analyze the functional changes of lower limbs by means of surface electromyography in patients with acquired immunodeficiency syndrome. METHODS A total of 60 men and women (age mean of 36.77 ± 9.33 years) were divided into two groups: 30 individuals with human immunodeficiency virus group (HIVG) Subtype 1 and 30 healthy individuals control group. Muscle activity was evaluated using surface electromyography (sEMG). sEMG measurements were made while the subjects assumed the static positions: Rest in orthostatism (RS), squat "normalization factor," right and left single leg support (RSLS, LSLS) and during functional activities: Right and left single leg step rise (RSLSR, LSLSR), right and left single leg step down (RSLSD, LSLSD), rising and seating on a chair (RC, SC). RESULTS To sEMG results revealed statistically significant values in the conditions of RSLS to left semitendinosus muscle, for LSLS to right and left semitendinosus, right rectus femoris and right gluteus medius muscles, for LSLSR to right rectus femoris and right tensor fasciae latae muscles, for RSLSD to right and left semitendinosus and right rectus femoris muscles, for RC to right rectus femoris and left gluteus medius muscles and for SC to right semitendinosus, right rectus femoris and right and left gluteus medius muscles. CONCLUSION It can be concluded that individuals with acquired immunodeficiency syndrome presented changes in lower limb muscle activity.
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Affiliation(s)
- Gabriel Pádua da Silva
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil,Address for Correspondence: Gabriel Pádua da Silva, Departamento de Morfologia, Fisiologia e Patologia Básica, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, Avenida do Café s/n, Ribeirão Preto, São Paulo, Brazil. Phone: +55 16 981665532. E-mail:
| | - Bruno Ferreira
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | - Selma Siéssere
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | - Isabela Hallak Regalo
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | - Danilo Stefani Esposto
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | | | - Veridiana Wanshi Arnoni
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | - Edson Donizetti Verri
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | - Paulo Batista Vasconcelos
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
| | | | - Alcyone Artioli Machado
- Clinics Hospital of the Faculty of Medicine, University of São Paulo, Ribeirao Preto, SP, Brazil
| | - Simone Cecilio Hallak Regalo
- Department of Morphology, Physiology and Basic Pathology, Dental School of Ribeirao Preto, University of Sao Paulo (FORP/USP), Ribeirao Preto, SP, Brazil
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