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AIDS typically affects young adults, yet in the CDC AIDS surveillance report of 1998, 10% of reported AIDS cases in the United States are patients older than 50 years, and 22% of these are older than 60 years [1]; AIDS is more common in the older age group than in the pediatric population. AIDS is least well-appreciated in older adults, and neurologic complications have not been systematically studied [2]. This is unfortunate, considering that an American older than 50 years with risk fact ors for human immunodeficiency virus (HIV) is one-fifth as likely as a younger adult to be tested for HIV and one-sixth as likely to wear condoms [3]. Prompted by an index case seen at our institution, we reviewed our hospital experience with neurologic involvement in patients who developed AIDS at age 50 years and older. Patterns of patient presentation and the physician process of AIDS recognition in this population are described. |
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acquired immunodeficiency syndrome
acquired immunodeficiency syndrome,heralded by neurologic invol
acquired immunodeficiency syndrome,older adults
drug abuse
heralding manifestation
homosexual
human immunodeficiency virus type 1
misdiagnosis
neurologic disease,diagnoses of
old age,neurology of
Red flags
review article
risk factors
toxoplasmosis,CNS
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