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KMID : 0378019850280080063
New Medical Journal
1985 Volume.28 No. 8 p.63 ~ p.72
A case report of an Acquired Immune Deficiency Syndrome with multiple problems, such as, fever, dyspnea, abdominal pain, oral candidiasis, candida albicans esophagitis & etc




Abstract
In June 12th-28th, 1985, a case of Acquired Immune Deficiency Syndrome patient had been under my care, which was the first reported case in Korea.
The case summary and findings were as follows:
1) The patient was 53 year old American who has been homosexual since his teenager life.
2) When he visited my office, his chief complaints were dyspnea, fever, abdominal pain and etc. with 5 days duration.
3) Patient had an oral candidiasis.
4) The results of laboratories were like the belows,
a) The level of IgG and IgA were higher than normal by serum electrophoresis.
b) The number of platelet and W.B.C. were fairly decreased.
c) Anti HBc and Anti HBs for Hepatitis B were positive.
d) T lymphocyte showed 60% with 29% of active number.
e) The ratio between T4(=T helper) and T8(=T suppresor) was 0. 7.
f).In lymphocyte stimulation test, PHA was 7.05 (control 20.09) and Con A was 6.73 (control 14.46) respectively, which were fairly decreased.
g) Natural killer cell was 4% (Normal 5%).
i) Multiple cell mediated immunity skin test was negative (Tetanus, Diphtheria, Streptococcus, Tuberculin, Proteus, Trichophyton, Candida).
j) HTLV-III antibody test showed strong positive.
k) Candida albicans esophagitis was found by fibergastroscopy.
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