FINE NEEDLE ASPIRATION CYTOLOGY OF LYMPH NODES IN HIV INFECTED PATIENTS |
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Authors: | S Satyanarayana AT Kalghatgi A Muralidhar RS Prasad KZ Jawed A Trehan |
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Affiliation: | *Associate Professor. Department of Pathology, Pune-411 040;+Reader, Department of Microbiology, Armed Forces Medical College, Pune-411 040;#Classified Specialist (Medicine & Immunology),Bangalore - 560 007;##Graded Specialist (Pathology), Command Hospital (Air Force), Bangalore - 560 007;**Senior Adviser (Pathology), Delhi Cantt - 110 010;++Classified Specialist (Pathology), Base Hospital, Delhi Cantt - 110 010 |
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Abstract: | Lymphadenopathy is the commonest presentation in HIV positive individuals. Fine needle aspiration cytology of 196 HIV positive patients was studied during six monthly review. 75% paients in this study who were asymptomatic were detected to have lymphadenopathy during the surveillance. 82% had lymph nodes smaller than 1cm size. Lymphadenopathy at more than one site was observed in 46.8% cases. Commonest opportunistic infection noticed was tuberculosis (TB) in 34.2%. Cyto-morphologically reactive pattern with Add fast bacilli (AFB) positivity was observed in 16.4% of TB cases. In 2.9% cases AFB were detected even in the tissue fluid. Negative images of AFB were observed in the macrophages in 3 cases. TB was detected with equal frequency in both asymptomatic and symptomatic groups. Axillary nodes pose problem due to deeper location. False positives were a case of dermatopathic lymphadenopathy and a case of Kimura''s disease. False negatives include two cases of TB lymphadenitis. Pathogens should be looked for irrespective of cyto-morphology. Biopsy should be done to confirm cases of lymphomas. Fine needle aspiration cytology should be included in the protocol of six monthly review of HIV infected cases.KEY WORDS: AIDS, FNAC, HIV, Lymph node, Tuberculosis |
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Keywords: | AIDS FNAC HIV Lymph node Tuberculosis |
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