Bernard Hirschel

All articles by Bernard Hirschel

Lymphoma and Disseminated Castleman's Disease

OVERVIEW: What every practitioner needs to know Are you sure your patient has lymphoma and disseminated disease? What should you expect to find? Lymphoma in HIV-infected (and other) patients can present with a localized mass (Figure 1) or with general symptoms (called “B” symptoms) such as fever, pruritus or weight loss. In the context of…

Evaluation and management of acute HIV

OVERVIEW: What every practitioner needs to know How does acute HIV infection usually manifest? Acute HIV infection, typically occurring within weeks of an exposure to HIV-infected bodily fluids, represents the time in which a patient has high levels of plasma HIV RNA and an emerging humoral immune response with the development of detectable viral protein-specific…

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