Bilateral Panuveitis in HIV-1-Infected Patients with CD8 Lymphocytosis

Abstract

Aims: To report the presence of HIV-1-infected patients with bilateral panuveitis, CD8 lymphocytosis, and an absence of parotid involvement. Methods: Case series of four HIV-1-infected patients naive to antiretroviral treatment. Results: Four patients with symptomatic panuveitis are presented. Ocular, systemic, and investigation findings are reported. Recognised causes of panuveitis were excluded. All patients showed a clinical response to steroids and antiretroviral therapy. Conclusions: Symptomatic panuveitis may occur in HIV-1-infected individuals with CD8 lymphocytosis in the absence of a recognised cause. These patients have clinical features that resemble diffuse infiltrative lymphocytosis syndrome and may represent a subgroup of this syndrome.

KEYWORDS:

• HIV
• lymphocytosis
• panuveitis