Multiple Sclerosis-like Illness in a Patient With HIV Infection

J Korean Neurol Assoc > Volume 28(3); 2010 > Article

Journal of the Korean Neurological Association 2010;28(3): 222-224.

다발경화증 유사 질환으로 나타난 HIV 감염증

김지훈, 이기욱 나상준

건양대학교 의과대학 신경과학교실

Multiple Sclerosis-like Illness in a Patient With HIV Infection

Jihoon Kim

Department of Neurology, Konyang University College of Medicine, Daejeon, Korea

Abstract

The spectrum of neurological complications that occurs in the setting of HIV-1 infection includes AIDS-dementia complex, progressive multifocal leukoencephalopathy, brain lymphoma, toxoplasma encephalitis, and cryptococcal meningitis. We present a 36-year-old man with subacute multifocal neurologic signs who had a 3-year history of HIV-1 infection and a year history of left optic neuritis. The clinical presentation, CSF findings, and neuroradiological features in our patient were compatible with multiple sclerosis (MS), and hence he represented a rare case of HIV-related MS-like illness. Key Words: Multiple-sclerosis-like illness, HIV