Anemia as a Prognostic Marker for Disease Progression in HIV Infection

E. Obeagu, G. U. Obeagu, E. Alum, Ugwu Okechukwu Paul-Chima
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Abstract

Anemia, a prevalent hematologic manifestation in individuals living with Human Immunodeficiency Virus (HIV) infection, has garnered considerable attention as a prognostic indicator for disease progression and adverse clinical outcomes. This abstract presents a comprehensive review elucidating the intricate relationship between anemia and the progression of HIV infection, incorporating epidemiological trends, underlying pathophysiological mechanisms, clinical implications, and prognostic significance. Despite advances in antiretroviral therapy (ART), anemia remains a frequent complication in HIVinfected individuals, posing substantial challenges to patient management. This paper aims to provide a nuanced understanding of anemia's role as a prognostic marker, surpassing its conventional characterization as a hematologic abnormality in the context of HIV infection. Anemia's role as a predictive marker for adverse clinical outcomes in HIV patients is explored, encompassing increased mortality rates, heightened risk of opportunistic infections, accelerated disease progression, and compromised quality of life. The review delves into its prognostic significance, shaping therapeutic decisions and prognostic assessments. This paper encapsulates the criticality of anemia as a prognostic marker for disease progression in HIV infection. Understanding its epidemiology, pathophysiological mechanisms, clinical implications, and prognostic significance is pivotal for informed clinical decision-making, prognostic assessments, and optimizing care paradigms in HIV management. Keywords: Anemia, Prognostic Marker, Disease Progression and HIV
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贫血是艾滋病病毒感染者病情恶化的预兆标志
贫血是人类免疫缺陷病毒(HIV)感染者的一种常见血液学表现,作为疾病进展和不良临床结果的预后指标,它已引起了广泛关注。本摘要通过流行病学趋势、潜在的病理生理机制、临床影响和预后意义等方面,全面综述了贫血与 HIV 感染进展之间的复杂关系。尽管抗逆转录病毒疗法(ART)取得了进展,但贫血仍是 HIV 感染者的常见并发症,给患者管理带来了巨大挑战。本文旨在对贫血作为预后标志物的作用提供一个细致入微的理解,超越其作为 HIV 感染情况下血液学异常的传统特征。本文探讨了贫血作为艾滋病患者不良临床结局预测指标的作用,包括增加死亡率、增加机会性感染风险、加速疾病进展和影响生活质量。综述深入探讨了其对预后的影响,从而影响治疗决策和预后评估。本文概括了贫血作为艾滋病病毒感染者疾病进展预后标志的重要性。了解贫血的流行病学、病理生理学机制、临床影响和预后意义,对于做出明智的临床决策、预后评估和优化 HIV 管理中的护理模式至关重要。关键词贫血 预后标志物 疾病进展与 HIV
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