Intradermal vs intramuscular.
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Biomedical subjects
Publications and source records attributed to R H Goldschmidt.
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Nearly all patients infected with the human immunodeficiency virus (HIV) will develop cutaneous or mucous membrane manifestations. Oral cavity lesions associated with HIV disease include candidiasis, hairy leukoplakia and Kaposi's sarcoma. Skin infections such as herpes simplex, herpes zoster, molluscum contagiosum, Staphylococcus aureus folliculitis and warts are often more severe than usual and may be refractory to therapy. Seborrheic dermatitis is the most common cutaneous eruption. The appearance of Kaposi's sarcoma in a patient younger than 60 years of age or in any individual with laboratory evidence of HIV infection is diagnostic of acquired immunodeficiency syndrome. Serious drug reactions may occur, despite the depressed cellular immunity associated with HIV infection.
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Major scientific and clinical breakthroughs in HIV disease are rarely saved for the International Conference on AIDS. Nevertheless, this conference provides an opportunity for experts, providers, and patients to gain new information, exchange ideas, and assess progress. The Conference is also a public forum for political and social discussion and serves as a barometer of scientific and social trends as well. This year's conference featured refinements in clinical care, a deeper understanding of the epidemiologic trends, and a public awareness of the many political aspects of the AIDS epidemic. Contributions from family physicians and other primary care providers about problems they face and the family aspects of HIV need still greater prominence and exposure. Hopefully family physicians will use their expertise and report at future international conferences.
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The health care worker's exposure to HIV presents a cascade of real and potential problems. Medical, psychological, employment, and legal problems present ongoing challenges, often in uncharted territory. The references listed below provide additional information to help in both individual cases and in prospectively setting up programs and action plans for hospitals and offices.
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