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participating institutions:
Johns Hopkins University AIDS Service, New York State DOH AIDS Institute, The CORE Center, Cook County Hospital



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Lactacidemia in Asymptomatic HIV-Infected Subjects Receiving Nucleoside Reverse-Transcriptase Inhibitors [Boffito M et al. CID 2002;34:558] The authors measured lactate levels in asymptomatic patients receiving NRTIs for various periods. There were 50 subjects divided into five groups according to duration of therapy, and including one group that was NRTI-naïve. The results are shown in the table below:

 
Mean mM
Range mM
NRTI naïve
1.29
0.58-1.50
NRTI <1 yr
1.95
1.30-3.62
NRTI >5 yrs
1.15
0.71-1.58

Comment: The sample size here may be too small to draw conclusions, but an interesting feature of this analysis is the observation that long-term treatment with NRTIs may be associated with adaptation over time.
posted 2/20/2002





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