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Retrospective study of the prevalence and progression of monoclonal gammopathy in HIV positive versus HIV negative patients

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机构: [1]Montefiore Med Ctr, Albert Einstein Coll Med, Dept Oncol, Div Hematol, Bronx, NY 10467 USA; [2]Chinese Univ Hong Kong, Hong Kong Canc Inst, Partner State Key Lab Oncol South China, Sir YK Pao Ctr Canc,Dept Clin Oncol, Hong Kong, Hong Kong, Peoples R China; [3]Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong, Hong Kong, Peoples R China; [4]Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA; [5]Montefiore Med Ctr, Albert Einstein Coll Med, Dept Internal Med, Div Infect Dis, Bronx, NY 10467 USA; [6]Univ Hosp Case Med Ctr, Dept Hematol & Oncol, Cleveland, OH USA; [7]Chinese Univ Hong Kong, Dept Clin Oncol, Shatin, Hong Kong, Peoples R China
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关键词: HIV hematological malignancy oligoclonal proteins monoclonal proteins paraproteins

摘要:
The significance of HIV associated paraproteins and their risk of progression to hematological malignancies remains unclear. We compared the development of hematological malignancies among HIV+ (n=266) and HIV- (n=537) patients with monoclonal gammopathies. HIV+ and HIV- patients with a positive serum protein electrophoresis test (SPEP) were studied. HIV+ SPEP+ were more likely to have faint and oligoclonal paraproteins (F-SPEP) and less likely to have discrete bands (D-SPEP) compared to HIV- SPEP+. The incidence of hematological malignancies was significantly lower in the HIV+ compared to the HIV- (6.4% vs 15.4%, p<0.0002). Upon subgroup analysis, the lower incidence of hematological malignancies was noted for HIV+ patients with F-SPEP but not for those with D-SPEP. Copyright (c) 2015 John Wiley & Sons, Ltd.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 血液学 3 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 血液学 4 区 肿瘤学
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第一作者机构: [1]Montefiore Med Ctr, Albert Einstein Coll Med, Dept Oncol, Div Hematol, Bronx, NY 10467 USA;
通讯作者:
通讯机构: [2]Chinese Univ Hong Kong, Hong Kong Canc Inst, Partner State Key Lab Oncol South China, Sir YK Pao Ctr Canc,Dept Clin Oncol, Hong Kong, Hong Kong, Peoples R China; [3]Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong, Hong Kong, Peoples R China; [7]Chinese Univ Hong Kong, Dept Clin Oncol, Shatin, Hong Kong, Peoples R China
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