Hiv facial lipoatrophy

The percentage of improvement following the initial treatment ranged from 75 to 90 percent. However, the psychosocial effects on patients are certain. This resulting anguish can serve as a factor for delaying as well as discontinuing antiretroviral therapy [ 6 ]. Treatment of lipoatrophy of the face, therefore, may provide the greatest psychological relief for the patient. Because it is the major mineral component of bone, CaHa should not provoke an immune-system reaction [ 36 , 37 ].

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HIV-associated facial lipoatrophy

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HIV-Associated Facial Lipoatrophy - EyeWiki

Growing evidence suggests that certain antiretroviral drugs may precipitate or exacerbate lipoatrophy and associated metabolic abnormalities, and this is an important consideration when selecting appropriate treatment regimens. However, because of problems of cross-resistance among antiretroviral drug classes and other treatment-related toxicities, it is likely that, at some stage, the HIV-infected patient will have to take drugs that confer a risk of development of lipodystrophy syndrome. With optimal use of HAART, which includes regular monitoring of viral load, viral resistance, and compliance with medication, HIV infection has changed from being a fatal disease to a lifelong infection. However, HAART-related lipodystrophy syndrome, and especially facial lipoatrophy, is of great concern for patients and physicians involved in HIV care. For the patient, facial lipoatrophy is a major stigma that affects self-esteem and social interaction, and in some cases, it is a cause of noncompliance with HAART. Accordingly, many treatment-experienced HIV patients are requesting, and being treated with, various dermal fillers for cosmetic correction of facial lipoatrophy. Prior to the introduction of HAART, when life expectancy for the HIV-infected individual was severely limited, permanent fillers were widely used for this purpose.
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HIV-Associated Facial Lipoatrophy

This study evaluated the effects of facial stimulation over the superficial muscles of the face in individuals with facial lipoatrophy associated with human immunodeficiency virus HIV and with no indication for treatment with polymethyl methacrylate. The study sample comprised four adolescents of both genders ranging from 13 to 17 years in age. To participate in the study, the participants had to score six or less points on the Facial Lipoatrophy Index. The facial stimulation program used in our study consisted of 12 weekly minute sessions during which individuals received therapy.
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