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HIV Infection and Immunosuppressive Disorders

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Modern concepts of antiretroviral therapy in children with HIV infection

https://doi.org/10.22328/2077-9828-2025-17-3-9-30

Abstract

The lecture, based on international and our own scientific and clinical experience, examines aspects of epidemiology, features of clinical manifestations, diagnostics, and treatment of HIV infection in children. It covers complex issues related to the study of adverse events associated with the use of antiretroviral drugs, disorders of various organs and systems directly or indirectly related to the effects of HIV, drugs, and comorbid pathological processes. It presents materials related to the problem of cardiovascular diseases, the risk of which in children increases with age, the duration of HIV infection, and the duration of antiretroviral therapy. It emphasizes the importance of metabolic disorders (impaired lipid and glucose metabolism), the role of endothelial cell damage and dysfunction of the vascular endothelium of the heart and brain in the early development of cardiovascular diseases in children, and proposes an algorithm for providing assistance to children with HIV infection and dyslipidemia during antiretroviral therapy. The lecture is intended for a wide range of specialists, residents, and students of medical universities.

About the Authors

V. V. Rassokhin
Pavlov First St. Petersburg State Medical University; St. Petersburg Pasteur Institute
Russian Federation

Rassokhin Vadim Vladimirovich

St. Petersburg



E. B. Yastrebova
Pavlov First St. Petersburg State Medical University; St. Petersburg Pasteur Institute
Russian Federation

St. Petersburg



E. O. Gordon
Sverdlovsk Regional Center for the Prevention and Control of AIDS
Russian Federation

Yekaterinburg



V. Ya. Rozenberg
Republican Clinical Infectious Diseases Hospital
Russian Federation

St. Petersburg



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For citations:


Rassokhin V.V., Yastrebova E.B., Gordon E.O., Rozenberg V.Ya. Modern concepts of antiretroviral therapy in children with HIV infection. HIV Infection and Immunosuppressive Disorders. 2025;17(3):9-30. (In Russ.) https://doi.org/10.22328/2077-9828-2025-17-3-9-30

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