• Users Online: 86
  • Print this page
  • Email this page


 
 
Table of Contents
LETTER TO THE EDITOR
Year : 2018  |  Volume : 29  |  Issue : 4  |  Page : 211

Reply from authors (Letter to the Editor: Renal Vein Aneurysm)


Department of Surgery, Division of Urology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan

Date of Web Publication23-Jul-2018

Correspondence Address:
Cheng-Keng Chuang
Department of Surgery, Division of Urology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan
Taiwan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_86_18

Get Permissions


How to cite this article:
Su SH, Chuang CK. Reply from authors (Letter to the Editor: Renal Vein Aneurysm). Urol Sci 2018;29:211

How to cite this URL:
Su SH, Chuang CK. Reply from authors (Letter to the Editor: Renal Vein Aneurysm). Urol Sci [serial online] 2018 [cited 2018 Aug 15];29:211. Available from: http://www.e-urol-sci.com/text.asp?2018/29/4/211/237364



In research on intracranial vasculopathy in HIV patients by Thawani et al., the authors suggested that arteriopathies causing structural arterial disease in patients with HIV may result from opportunistic infection including viral (varicella-zoster virus, Epstein–Barr virus, hepatitis B virus, or cytomegalovirus) or bacterial (toxoplasmosis, pneumocystis, salmonella, and several other mycobacteria) entities.[1] Multi-factors may cause vascular inflammation by HIV-induced immunologic abnormalities and exposure to a variety of xenoantigens, such as HIV itself, other infectious agents, and drugs.[2] Lefeuvre et al. reported a case of intracranial arterial dissection in a HIV patient.[3] They also reviewed its histology which showed marked intimal proliferation and disruption of the internal elastic lamina. The new vessel proliferation observed in the adventitia may be similar to vasa vasorum rupture in large arteries. The new vessels seen in the adventitial layer of this patient's arteries may represent proliferating vasa vasorum. As the research reported above, we can presume that HIV may possibly induce vasculopathy by unknown mechanism. However, there is still no case about HIV with renal vein aneurysm reported. Even in our case, we did not examine the HIV infection, but the patient was still in healthy condition without any symptom/sign of immunodeficiency. Although HIV was still an important health problems in Taiwan, it is hard to do the examination of HIV due to human right and culture reason. However, it definitely provided a new aspect about renal vein aneurysm.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Thawani JP, Nayak NR, Pisapia JM, Petrov D, Pukenas BA, Hurst RW, et al. Aneurysmal vasculopathy in human-acquired immunodeficiency virus-infected adults: Imaging case series and review of the literature. Interv Neuroradiol 2015;21:441-50.  Back to cited text no. 1
    
2.
Gherardi R, Belec L, Mhiri C, Gray F, Lescs MC, Sobel A, et al. The spectrum of vasculitis in human immunodeficiency virus-infected patients. A clinicopathologic evaluation. Arthritis Rheum 1993;36:1164-74.  Back to cited text no. 2
    
3.
Lefeuvre D, Liebenberg L, Taylor A. Intracranial arterial dissection related to HIV infection. A case report with histology. Interv Neuroradiol 2005;11:387-91.  Back to cited text no. 3
    




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed25    
    Printed2    
    Emailed0    
    PDF Downloaded11    
    Comments [Add]    

Recommend this journal