Assessment and management of musculoskeletal disorders among patients living with HIV

Karen Walker-Bone, Erin Doherty, Kaushik Sanyal, Duncan Churchill

Research output: Contribution to journalReview ArticleResearchpeer-review

17 Citations (Scopus)

Abstract

HIV is a global pandemic. However, anti-retroviral therapy has transformed the prognosis and, providing compliance is good, a normal life expectancy can be anticipated. This has led to increasing numbers of people with chronic prevalent, treated infection living to older ages. Musculoskeletal pain is commonly reported by HIV patients and, with resumption of near-normal immune function, HIV-infected patients develop inflammatory rheumatic diseases that require assessment and management in rheumatology clinics. Moreover, it is becoming apparent that avascular necrosis and osteoporosis are common comorbidities of HIV. This review will contextualize the prevalence of musculoskeletal symptoms in HIV, informed by data from a UK-based clinic, and will discuss the management of active inflammatory rheumatic diseases among HIV-infected patients taking anti-retroviral therapy, highlighting known drug interactions.

Original languageEnglish
Pages (from-to)1648-1661
Number of pages14
JournalRheumatology
Volume56
Issue number10
DOIs
Publication statusPublished - Oct 2017
Externally publishedYes

Keywords

  • Biologics
  • Disease-modifying anti-rheumatic drugs
  • HIV
  • Inflammatory rheumatic disease
  • Musculoskeletal

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