LAWRENCE R. BERGER, M.D.
To the editor: Cigarette smoking has not, to my knowledge, been scrutinized as a potential risk factor in the acquired immunodeficiency syndrome (AIDS). Various epidemiologic, animal, and in-vitro studies have shown that cigarette smoking can alter the immune response (1-5). Persons positive for the human immunodeficiency virus (HIV) may have an increased risk of manifesting AIDS-related conditions if they are smokers. The appearance of pneumocystis pneumonia, for example, may represent impaired local defenses in the lung as well as impaired systemic immune function.
I have been unable to find smoking prevalence data by sexual preference of respondents. However, it is
BERGER LR. Cigarette Smoking and the Acquired Immunodeficiency Syndrome. Ann Intern Med. 1988;108:638. doi: 10.7326/0003-4819-108-4-638_2
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Published: Ann Intern Med. 1988;108(4):638.
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