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Repeated Presentation of Graves’ Disease as a Manifestation of Immune Reconstitution Syndrome in an Hiv-Infected Patient Taking Haart: Case Report

Klaudija Višković orcid.org/0000-0002-5927-3201
Lorna Stemberger
Zoran Brnić
Josip Begovac

Abstract

An HIV-infected patient who experienced immune reconstitution after highly active antiretroviral therapy (HAART) (increase in CD4 T-cell count from 84/mm3 to 310/mm3) presented with severe Graves’ disease twice, after commencing and recommencing HAART. At the first episode of Graves’ disease, 21 months after the introduction of HAART, the symptoms of thyroid dysfunction vanished without any specific treatment, but were associated with termination of taking HAART. At the second episode, 5 years after recommencing HAART, the patient continued taking HAART and commenced antithyroid therapy with thiamazole. Graves’ disease developed after a long period, while the patient was in good condition and when complications resulting from HAART were not expected. No features of any autoimmune disease were diagnosed before HAART initiation.

Keywords

HIV infection; Antiretroviral therapy; Graves’ disease

Hrčak ID:

110712

URI

https://hrcak.srce.hr/110712

Publication date:

1.1.2013.

Article data in other languages: croatian

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