HIV-RELATED ENDOCRINOPATHIES

Course overview

HIV INFECTION CAN AFFECT VIRTUALLY EVERY ENDOCRINE ORGAN SYSTEM IN THE BODY. ENDOCRINE DYSFUNCTION SECONDARY TO NEOPLASTIC AND OPPORTUNISTIC INFECTIOUS INVOLVEMENT OF ENDOCRINE ORGANS WAS PERVASIVE DURING THE EARLY AIDS PANDEMIC. HOWEVER, THE CURRENT WIDESPREAD USE OF EFFECTIVE ANTIRETROVIRAL THERAPY PERMITS INDIVIDUALS WITH HIV A LIFESPAN APPROACHING THAT OF THE GENERAL POPULATION. CONSEQUENTLY, INDIVIDUALS WITH CHRONIC HIV INFECTION DEVELOP ENDOCRINOPATHIES COMMONLY SEEN WITHIN THE GENERAL POPULATION. STILL, HIV STATUS AND ANTIRETROVIRAL THERAPY APPEAR TO BE INDEPENDENT RISK FACTORS FOR DEVELOPING MANY ENDOCRINOLOGICAL DISORDERS. INADEQUATELY MANAGED HORMONAL DYSFUNCTION CAN ADVERSELY AFFECT QUALITY OF LIFE AND INCREASE OVERALL MORBIDITY AND MORTALITY.HIV STATUS CAN PRESENT UNIQUE CHALLENGES IN DIAGNOSING AND MANAGING ENDOCRINOPATHIES. THIS ACTIVITY REVIEWS THE EPIDEMIOLOGY, ETIOLOGY, PRESENTING SYMPTOMATOLOGY, DIAGNOSTIC EVALUATION, AND MANAGEMENT OF ENDOCRINOPATHIES IN INDIVIDUALS WITH HIV AND HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN IMPROVING OUTCOMES FOR THESE PATIENTS.