The neurologic phenotype of South African patients with HIV-associated neurocognitive impairment

Sean G Anderson, Michael McCaul, Saye Khoo, Lubbe Wiesner, Ned Sacktor, John A Joska, Eric H Decloedt
Neurology: Clinical Practice; Vol.10 Issue:01 ( pp:15-22 ) 10-02-2020 Primary Research EPIDEMIOLOGY
Background
The neurologic manifestations of HIV include a spectrum of HIV-associated neurocognitive disorders, as well as a cluster of neurologic symptoms and signs. The neurologic manifestations have been modified but not eradicated by antiretroviral therapy (ART). We describe the neurologic phenotype in South African patients with predominant HIV-1 subtype C infection on ART and its association with neurocognitive impairment and efavirenz and 8-hydroxy-efavirenz concentrations.
Methods
We conducted a cross-sectional analysis of the neurologic examination findings of HIV+ patients with neurocognitive impairment and used multiple linear regression to explore associations with neurocognitive impairment, efavirenz, and 8-hydroxy-efavirenz pharmacokinetics (plasma and CSF).
Results
We included 80 participants established on ART (median 40 months) of which 72 (90%) were female. The median age...

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Senior Lecturer in Epidemiology and Biostatistics, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. I have expertise in:

Clinical Epidemiology | Biostatistics | Evidence Synthesis | Guideline Development | Research Methods | Postgraduate Teaching and Learning | Prehospital Care | Student Supervision