Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale

Translated title of the contribution: Neurological and psychological evolution of adolescents with vertical transmission HIV infection

F. Piazza, A. Maccabruni, G. Rossi, M. Chiappedi, D. Caselli, F. Bonforte, G. Lanzi

Research output: Contribution to journalArticle

Abstract

Aim. Personal experience in a sample group of children with AIDS vertically transmitted followed from birth to adolescence (out of 56 cases with documented HIV infection, 9 who have reached the age of 13 have been studied) is presented. Methods. The evaluation protocol includes: hematochemical, serological and virological tests to monitor the infectious status, as well as annual EEG, CT/MRI scan to detect anatomical alteration of CNS, neurological examination, intelligence test (WISC-R), interview and projective test (Blacky Pictures) to investigate emotional situation. Results. As to the status of the disease, according to the CDC classification, 2 patients are asymptomatic, 2 paucisymptomatic, 2 with moderate symptoms, 2 severely symptomatic; 1 patient died due to progressive encephalopathy. Of the 2 severely symptomatic cases, 1 presents cortical atrophy and the other basal nuclei calcifications. No one of them has clinical signs of encephalopathy. All patients receive anti-retroviral medications. From tests and interviews emotional problem-emerge, future is seen as menacing and insidious, and defensive mechanisms are fragile and inconstant; denial can lead to a refusal of the pharmacological therapy; families themselves often refuse medical staff the consent to communicate the diagnosis fearing that this could induce unbearable anguish. Conclusion. It seems important that patients are informed, considering their capacity to make front to the communication, even if one must bear in mind that understanding and accepting the diagnosis may be a long and painful process requiring a long time.

Original languageItalian
Pages (from-to)411-417
Number of pages7
JournalMinerva Pediatrica
Volume56
Issue number4
Publication statusPublished - Aug 2004

Fingerprint

HIV Infections
Psychology
Brain Diseases
Interviews
Intelligence Tests
Medical Staff
Neurologic Examination
Serologic Tests
Centers for Disease Control and Prevention (U.S.)
Basal Ganglia
Psychological Stress
Atrophy
Electroencephalography
Acquired Immunodeficiency Syndrome
Communication
Magnetic Resonance Imaging
Parturition
Pharmacology
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Piazza, F., Maccabruni, A., Rossi, G., Chiappedi, M., Caselli, D., Bonforte, F., & Lanzi, G. (2004). Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale. Minerva Pediatrica, 56(4), 411-417.

Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale. / Piazza, F.; Maccabruni, A.; Rossi, G.; Chiappedi, M.; Caselli, D.; Bonforte, F.; Lanzi, G.

In: Minerva Pediatrica, Vol. 56, No. 4, 08.2004, p. 411-417.

Research output: Contribution to journalArticle

Piazza, F, Maccabruni, A, Rossi, G, Chiappedi, M, Caselli, D, Bonforte, F & Lanzi, G 2004, 'Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale', Minerva Pediatrica, vol. 56, no. 4, pp. 411-417.
Piazza F, Maccabruni A, Rossi G, Chiappedi M, Caselli D, Bonforte F et al. Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale. Minerva Pediatrica. 2004 Aug;56(4):411-417.
Piazza, F. ; Maccabruni, A. ; Rossi, G. ; Chiappedi, M. ; Caselli, D. ; Bonforte, F. ; Lanzi, G. / Evoluzione neuropsichica in adolescenza del bambino HIV positivo per trasmissione verticale. In: Minerva Pediatrica. 2004 ; Vol. 56, No. 4. pp. 411-417.
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