Sankhyan N, Lodha R, Sharma S, Menon PR, Choudhary A, Kabra SK, Gulati S. Peripheral neuropathy in children on stauvudine therapy.
Indian J Pediatr 2015;
82:136-9. [PMID:
24874810 DOI:
10.1007/s12098-014-1477-5]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2013] [Accepted: 04/24/2014] [Indexed: 01/11/2023]
Abstract
OBJECTIVE
To assess the prevalence of peripheral neuropathy in HIV infected children (>5 y) receiving stavudine-based combination anti-retroviral treatment (ART) for more than 3 mo in a cross-sectional study.
METHODS
History, detailed neurological examination and nerve conduction studies were performed.
RESULTS
Forty children [26 boys; median age - 11.75 y, Inter quartile range (IQR): 9-16 y] were enrolled. The median duration of ART was 43 mo [IQR: 18-69 mo]. The nerve conduction studies were abnormal in four children (10 %). Symptomatic distal sensory polyneuropathy was present in two children, asymptomatic distal sensory polyneuropathy and subclinical distal sensory polyneuropathy was present in one child each.
CONCLUSIONS
Distal sensory polyneuropathy is a potential problem in children on stavudine based ART. Children on stavudine based ART need periodic clinical and electrophysiological screening for its early detection.
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