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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Dr. Dhananjay L. Patil
Jun 8, 2005

Dear Doctor, Myself Medical Officer at ART Centre,Mumbai,India.We have very frequently observed asymptomatic parotid enlargements in HIV\AIDS patients.Also seen similar swelling being developing in patients after some gap of about year or so of initiating ART. Is this the side effect of one of ARVs.If it is DILS it should subside with treatment.If it is lymphoepethelial cyst formation Why it should occur after starting ART. Thanking you in anticipation

Response from Dr. Henry

I have seen such swelling both before and after starting potent ART. If it occurs afterwards then some form of immune reconstitution may be a contributing factor to the lymphoepithelial cyst formation. Co TB, staph or other infectious parotiditis, sicca syndrome and other conditions need to be considered as well. KH

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