1 The Out-patient Management of HIV Infection.- Acute HIV Seroconversion Illness (CDC I).- The Management of Asymptomatic HIV-positive Patients (CDC II and III).- Constitutional Disease (CDC IVA).- Sexually Transmitted Diseases and HIV-positive Patients.- References.- 2 Counselling and Clinical Psychology in HIV Infection and AIDS.- Definitions of Psychotherapy and Counselling.- The Role of Clinical Psychologists.- Prevention of HIV Infection.- HIV Antibody Test Counselling.- Psychological Assessment, Treatment Approaches and Psychological Techniques.- Psychological Treatment Approaches and Techniques.- Psychological Reactions and Problems.- The Worried Well.- Haemophiliacs.- Children and HIV.- Relapse Prevention: A New Approach.- The Developing Area of Health Psychology.- Research Issues in Psychotherapy and HIV.- References.- 3 Psychological and Psychiatric Aspects of HIV and AIDS.- Forms and Incidence of Psychological and Psychiatric Disturbance.- Suicide.- Assessment of Mood State and Psychiatric Status.- Psychiatric Assessments.- Neuropsychological Assessment.- Other Management Issues.- Conclusion.- References.- 4 Respiratory Problems of HIV Infection and AIDS.- Clinical Presentation.- Investigations.- Management.- References.- 5 Gastroenterological Problems of HIV Infection and AIDS.- Presentation of Gastroenterological Problems.- Investigation of Gastroenterological Problems.- Management of Specific Problems.- Future Developments.- References.- 6 Neurological Complications of HIV Infection and AIDS.- Common Neurological Presentations.- Investigation of Neurological Problems.- Pathophysiology and Management.- Neurological Complications due to HIV.- The Future.- References.- 7 Dermatological Problems in HIV Infection and AIDS.- Clinical Features.- Diagnostic Investigations.- Management.- Science and Research.- References.- 8 Haematological Complications of HIV Infection, AIDS and HIV-associated Lymphoma.- Peripheral Blood Presentation.- Peripheral Blood Features.- Effect of Drugs Used in the Management of HIV Infection.- Lupus Anticoagulant.- Protein S Deficiency.- HIV-related Immune Thrombocytopenia.- HIV-related Lymphoma.- Conclusions.- References.- 9 Clinical Manifestations of HIV Infection and AIDS in Injecting Drug Users.- Symptoms.- Investigations.- Clinical Management.- Other Issues.- Conclusion.- References.- 10 AIDS in Africa.- The Size of the Problem.- Transmission Modes.- Origins.- HIV-2.- The Natural History of HIV Infection in Africa.- WHO Case Clinical Definition for AIDS.- Gastrointestinal Disease.- Pulmonary Disease.- Tumours.- Skin Diseases.- Sexually Transmitted Diseases.- Rheumatological Problems.- Neurological Disease.- Paediatric Problems.- Other Tropical Problems.- The Future.- References.
In the decade since AIDS was first recognised the enormous and worldwide social and medical implications of this disease have been increasingly recognised. The exponential increase in the number of people infected with HIV has been paralleled by the written literature on the subject. When this book was initially conceived the question was why another book? It seemed to me at that time and since, that as HIV presented ever more complex problems, they were best solved when considered within a wider context, using basic principles of individual medical specialties and applying them. For this reason, all the chapter authors were experienced in a particular field and applied that knowledge to HIV. All the authors were working at the Middlesex Hospital in London when the AIDS services there were expanding to fill a need, from 2 beds in 1986 to two wards today. The authors were frontline staff looking after all aspects of HIV infection within a wider general medical context. Many are now consultants or senior lecturers. It is the aim of the book to provide an insight into HIV and AIDS as a overview for someone starting to work in this field or who sees such patients occasionally and requires some basic guidelines. For this reason the chapters are based predominantly on organ systems and are divided into sections covering the presenta tion, methods of investigation and treatment or action required of relevant conditions.
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