Document 3135 DOCN M94A3135 TI Clinical and pathological aspect of HIV-sero positive inpatients. DT 9412 AU Okubo T; Fujita H; Soga T; Mohri H; Nagashima Y; Misugi K; Ichikawa S; Soda K; 1st Dept. Int. Med., Yokohama City Univ. School of Medicine,; Japan. SO Int Conf AIDS. 1994 Aug 7-12;10(1):146 (abstract no. PB0012). Unique Identifier : AIDSLINE ICA10/94369440 AB OBJECTIVES: To describe the clinico-pathological aspect of HIV/AIDS inpatients. METHODS: We reviewed HIV/AIDS inpatients in our hospital since 1988. We examined risk factor, CD4 counts, CD4/8 ratio, cause of death and the survival time after diagnosis of AIDS. RESULTS: A total of 13 HIV sero-positive subjects were admitted to our hospital, including 11 cases (85%) with AIDS. One patient was a foreigner. All cases were male; age range 18-70 years (median 30 years). Hemophiliacs and sexually transmitted patients account for 62% and 38% of cases, respectively. There were no cases of intravenous drug users. In all cases with AIDS, CD4+ cells and CD4/8 ratio significantly decreased with median value of 78/micron and 0.19, respectively. Five cases (45%) were deceased; interstitial pneumonia (2), HIV associated nephropathy (1), AIDS dementia (1), malignant lymphoma (1). Findings of autopsy done in three cases revealed systemic various infection, including Pneumocystis carini, cytomegalovirus and candida. The median survival time after diagnosis of AIDS were 26 months. DISCUSSION AND CONCLUSIONS: We controlled approximately 25% of the total AIDS cases in Kanagawa prefecture. In Japan, hemophiliacs occupies the largest share in HIV/AIDS cases, while sexual transmission increased, recently. We assume hospitalized patients in Japan are rather small in number compared with those in other countries. DE Acquired Immunodeficiency Syndrome/MORTALITY/*PHYSIOPATHOLOGY/ TRANSMISSION Adolescence Adult Aged Cause of Death CD4-CD8 Ratio Human HIV Seropositivity/MORTALITY/*PHYSIOPATHOLOGY/TRANSMISSION Inpatients Male Middle Age Retrospective Studies Survival Analysis T4 Lymphocytes/IMMUNOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).