To the Editor: The results of AIDS Clinical Trials Group Study243, reported by Hall et al. (May 7 issue),1 show that neithercytarabine nor regimens of one or two reverse-transcriptaseinhibitors affect the course of progressive multifocal leukoencephalopathyin patients infected with the human immunodeficiency virus (HIV).Recent case reports have indicated that neurologic conditionsand survival may improve in patients with progressive multifocalleukoencephalopathy who receive highly active antiretroviraltherapy, including protease inhibitors.2,3,4 Protease inhibitorsbecame widely available only after the cytarabine trial.1
We evaluated survival and the presence or absence of JC virusDNA in cerebrospinal fluid . . . [Full Text of this Article]
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