Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem

Hodgkin's lymphoma (HL) occurs with increasing frequency in human-immunodeficiency-virus-(HIV-) infected individuals. The natural history and behaviour of HIV-HL is different, being more atypical and aggressive. The association between HIV and HL appears to be primarily EBV driven. HAART use d...

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Main Authors: Moosa Patel, Vinitha Philip, Fatima Fazel
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2011/578163
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author Moosa Patel
Vinitha Philip
Fatima Fazel
author_facet Moosa Patel
Vinitha Philip
Fatima Fazel
author_sort Moosa Patel
collection DOAJ
description Hodgkin's lymphoma (HL) occurs with increasing frequency in human-immunodeficiency-virus-(HIV-) infected individuals. The natural history and behaviour of HIV-HL is different, being more atypical and aggressive. The association between HIV and HL appears to be primarily EBV driven. HAART use does not significantly impact on the incidence of HL. Indeed, the risk of HL has increased in the post-HAART era. However, the advent of HAART has brought renewed hope, allowing standard therapeutic options to be used more optimally, with better treatment outcomes. Despite the renewed optimism, the overall survival of HIV-HL patients remains less favourable than that in HIV-seronegative patients. This is particularly true in sub-Saharan Africa, where there is a significant burden of HIV/AIDS and where more than half the patients are HAART naive at diagnosis of HL. The similarities and differences of a South African cohort of HIV-HL are presented in this paper.
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spelling doaj-art-5024349212e54349b5bc65883da417362025-02-03T01:06:13ZengWileyAdvances in Hematology1687-91041687-91122011-01-01201110.1155/2011/578163578163Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging ProblemMoosa Patel0Vinitha Philip1Fatima Fazel2Division of Clinical Haematology, Department of Medicine, Chris Hani Baragwanath Hospital and the University of the Witwatersrand, P.O. Box 96092, Brixton, Johannesburg 2019, South AfricaDivision of Clinical Haematology, Department of Medicine, Chris Hani Baragwanath Hospital and the University of the Witwatersrand, P.O. Box 96092, Brixton, Johannesburg 2019, South AfricaDivision of Clinical Haematology, Department of Medicine, Chris Hani Baragwanath Hospital and the University of the Witwatersrand, P.O. Box 96092, Brixton, Johannesburg 2019, South AfricaHodgkin's lymphoma (HL) occurs with increasing frequency in human-immunodeficiency-virus-(HIV-) infected individuals. The natural history and behaviour of HIV-HL is different, being more atypical and aggressive. The association between HIV and HL appears to be primarily EBV driven. HAART use does not significantly impact on the incidence of HL. Indeed, the risk of HL has increased in the post-HAART era. However, the advent of HAART has brought renewed hope, allowing standard therapeutic options to be used more optimally, with better treatment outcomes. Despite the renewed optimism, the overall survival of HIV-HL patients remains less favourable than that in HIV-seronegative patients. This is particularly true in sub-Saharan Africa, where there is a significant burden of HIV/AIDS and where more than half the patients are HAART naive at diagnosis of HL. The similarities and differences of a South African cohort of HIV-HL are presented in this paper.http://dx.doi.org/10.1155/2011/578163
spellingShingle Moosa Patel
Vinitha Philip
Fatima Fazel
Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
Advances in Hematology
title Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
title_full Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
title_fullStr Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
title_full_unstemmed Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
title_short Human Immunodeficiency Virus Infection and Hodgkin's Lymphoma in South Africa: An Emerging Problem
title_sort human immunodeficiency virus infection and hodgkin s lymphoma in south africa an emerging problem
url http://dx.doi.org/10.1155/2011/578163
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AT fatimafazel humanimmunodeficiencyvirusinfectionandhodgkinslymphomainsouthafricaanemergingproblem