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Previous Volume 331:450-459 August 18, 1994 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Injection-drug use has become an important risk factor for infection with the human immunodeficiency virus (HIV), and HIV infection has become well established among drug users in North America, Europe, South America, and Southeast Asia^1,2,3. In the United States, approximately 34 percent of all the cases of the acquired immunodeficiency syndrome (AIDS) in adults have occurred either in injection-drug users or in their sexual contacts. The proportion of the AIDS epidemic that is related to injection-drug use has increased steadily over the past decade,^2,3 and it is particularly high among women and ethnic minorities³. In addition, the spectrum . . . [Full Text of this Article]

Screening for and Diagnosis of Substance Abuse

History

Physical Examination

Laboratory Tests

The Spectrum of HIV-Related Diseases in Injection-Drug Users

Bacterial Infections

Tuberculosis

Sexually Transmitted Diseases

Hepatitis

Other Retroviral Infections

Cancer

Revised Case Definition of AIDS

Substance Abuse and the Differential Diagnosis of HIV-Related Symptoms

Constitutional Symptoms

Pulmonary Symptoms

Neurologic Symptoms

Dermatologic and Other Symptoms

Clinical Issues in the Care of Injection-Drug Users with HIV Infection

Preventive Health Care

Referral of Patients for Treatment of Substance Abuse

Drug Interactions

Issues in Women's Health Care

Psychosocial Issues in the Care of Injection-Drug Users with HIV Infection

Access to Care and Compliance with Treatment

Psychiatric Illness and Cognitive Dysfunction

Prescription of Psychoactive Medications

Physician-Patient Interactions

            Potential Conflicts

            Productive Physician-Patient Interactions

Challenges for the Future

Source Information

From the Departments of Medicine (P.G.O., P.A.S.) and Psychiatry (R.S.S.), Yale University School of Medicine, New Haven, Conn.

Address reprint requests to Dr. O'Connor at the Primary Care Center, Yale University School of Medicine, P.O. Box 208025, New Haven, CT 06520-8025.

References

Related Letters:

The Care of Injection-Drug Users with HIV Infection
Newman R. G., Selbovitz L. G., Zide-Selbovitz L., Blansfield H. N., O'Connor P. G., Selwyn P. A., Schottenfeld R. S.
Extract | Full Text  
N Engl J Med 1994; 331:1773-1774, Dec 29, 1994. Correspondence

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