Alfredo Quinones-Galvan, MD; Alberto Lifshitz-Guinzberg, MD; Guillermo J. Ruiz-Arguelles, MD
To the Editors: The AIDS wasting syndrome or AIDS-associated enteropathy (human immunodeficiency virus type 1 [HIV-1] infection and profound diarrhea for 30 days or more without superimposed opportunistic enteric infections) has been accepted as a Centers for Disease Control case definition for the acquired immunodeficiency syndrome (AIDS), despite the fact that most patients with AIDS, cramping paraumbilical pain, large-volume diarrhea, and weight loss have specific small-bowel infections. Infection with HIV-1 may cause structural and functional changes in the small-bowel mucosa in the absence of opportunistic infections; studies have shown that findings in AIDS-associated enteropathy range from normal small-bowel mucosa to
Quinones-Galvan A, Lifshitz-Guinzberg A, Ruiz-Arguelles GJ. Gluten-Free Diet for AIDS-associated Enteropathy. Ann Intern Med. ;113:806–807. doi: 10.7326/0003-4819-113-10-806
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Published: Ann Intern Med. 1990;113(10):806-807.
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