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HIV Antibody Screening in a General Hospital Population
Jeffrey L. Lennox, MD;
MAJ Robert R. Redfield, MC
USA
LTC Donald S. Burke, MC
USA
Walter Reed Army Institute of Research Walter Reed Army Medical Center Washington, DC
JAMA. 1987;257(21):2914.
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To the Editor.—
Sir William Osler, in an 1897 address to the New York Academy of Medicine, said, "Know syphilis in all its manifestations and relations, and all other things clinical will be added unto you."1 In 1987, clinicians are faced with another sexually transmitted disease with protean clinical manifestations, human immunodeficiency virus (HIV) infection. The HIV epidemic is still in its early stages. Although progressive premature T-cell destruction is the critical pathogenic mechanism by which HIV induces disease,2 the complete clinical spectrum of primary and secondary consequences of HIV infection remains to be elucidated.
Study.—
We performed a pilot study in an attempt to determine the prevalence of undiagnosed HIV infections among patients presenting for medical care at our institution. During a three-week period in August 1986, all serum specimens sent to the hospital laboratory for a chemical profile (liver function, electrolyte, serum urea nitrogen, glucose, and
. . . [Full Text PDF of this Article]
Footnotes
Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.
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