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Chapter 24 - Human immunodeficiency virus in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

It is estimated that more than half of those living with human immunodeficiency virus (HIV) infection in the United States are now at least 50 years of age. Infection with HIV may be under-diagnosed in older persons, both because they may be perceived as being at lower risk for infection and because manifestations of HIV-related complications are mistaken for conditions associated with aging. The management of the HIV-infected older patient can be challenging due to comorbid diseases and polypharmacy. As HIV-infected persons are at increased risk for cardiovascular disease, certain malignancies, low bone density, as well as mental health disorders and substance abuse, successful medical care of these individuals requires careful attention to screening guidelines and a coordinated multidisciplinary approach.
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Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 344 - 356
Publisher: Cambridge University Press
Print publication year: 2016

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