Endocrine Disorders in Brazilian Patients with Acquired Immune Deficiency Syndrome

• Published in: Clinical infectious diseases Vol. 37; no. Supplement-2; pp. S137 - S141
• Main Authors: Fontes, Rosita, Vangeloti, Andréa, Pires, Maria Lucia, Lima, MÁrio B. C., Dimetz, Trude, Faulhaber, Marcelo, Faria, Raul, Meirelles, Ricardo M
• Format: Journal Article
• Language: English
• Published: United States The University of Chicago Press 01.09.2003; University of Chicago Press
• Subjects: Acquired Immunodeficiency Syndrome - complications; Acquired Immunodeficiency Syndrome - metabolism; Adrenal Cortex Hormones - metabolism; Adult; AIDS; Blood Glucose - metabolism; Brazil; Diabetes mellitus; Endocrine disorders; Endocrine system diseases; Endocrine System Diseases - etiology; Endocrine System Diseases - metabolism; Female; Glucose tolerance test; HIV; Hormones; Humans; Insulin; Insulin Resistance; Male; Middle Aged; Thyroid hormones; Thyroid Hormones - metabolism; Viruses; Brazil
• ISSN: 1058-4838; 1537-6591; 1537-6591
• DOI: 10.1086/376760

Acquired immunodeficiency syndrome (AIDS) was first reported in Brazil in 1980. In 1997, its incidence was 147 per million and then declined to 90 per million in 2000. Abnormalities of endocrine organ systems occur frequently in patients with AIDS. We evaluated mineralcorticoid, glucocorticoid, and thyroid hormone axes and glucose and insulin responses to a standardized oral glucose dose in healthy individuals; human immunodeficiency virus (HIV)–seropositive, asymptomatic individuals; HIV-infected patients with general lymphadenopathy, diarrhea, fever, fatigue, nocturnal sweating, and weight loss; and HIV-infected patients diagnosed with secondary infectious diseases or neoplasms. Baseline cortisol levels in the patients with AIDS were significantly higher than those in healthy control subjects. However, after adrenocorticotrophic hormone stimulation, cortisol levels were significantly lower in HIV-infected patients. Insulin concentrations were significantly higher after the glucose load in HIV-infected asymptomatic than in patients with AIDS. There were no significant differences in mineralocorticoid or thyroid function among groups.