High rate of lymphoma among a UK cohort of adolescents with vertically acquired HIV-1 infection transitioning to adult care in the era of antiretroviral therapy

AIDS. 2016 Jan 2;30(1):153-6. doi: 10.1097/QAD.0000000000000942.

Abstract

Among an inner London UK cohort of 147 adolescents transitioning from paediatric into adult care between 2007 and 2015, a new diagnosis of lymphoma was made in five patients; incidence rate = 0.425/100 person-years (95% confidence interval = 0.424-0.426). Previously described risk factors, including low nadir CD4 cell count and ongoing HIV-1 viraemia, appeared to be important. These data suggest that careful surveillance and a low threshold for investigating relevant symptoms continue to be essential for such patients.

MeSH terms

  • Adolescent
  • CD4 Lymphocyte Count
  • Child
  • Child, Preschool
  • Female
  • HIV Infections / complications*
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • London / epidemiology
  • Lymphoma / epidemiology*
  • Male
  • Retrospective Studies
  • Risk Factors
  • Viral Load
  • Young Adult