1 / 11

Innovative Management Strategies for HIV: A Case Study of Lipohypertrophy Challenges

This case presentation explores the complexities of managing a 48-year-old HIV-positive male patient with a history of significant clinical changes over the years. Despite achieving adherence to treatment with a combination of medications (TDF/ABC/3TC/RTV/ATZ/EFV), the patient faces dissatisfaction due to increasing facial lipohypertrophy and dorsocervical fat pad accumulation. This presentation discusses potential treatment adjustments, including switching Tenofovir or Atazanavir, and deliberates on the best course of action based on desired outcomes and lab results.

hamish-mendez
Download Presentation

Innovative Management Strategies for HIV: A Case Study of Lipohypertrophy Challenges

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication

  2. HIV CASE PRESENTATIONS Colin Kovacs MD FRCPC David Fletcher MD FRCPC

  3. CASE 2 • 48 yo man • HIV+ 1990 • CD4 nadir 120/6% • No HIV viral load or genotype

  4. CASE 2

  5. CASE 2 GENOTYPE AUG/04

  6. CASE 2 2005 • TDF/ABC/3TC/RTV/ATZ/EFV initiated

  7. CASE 2

  8. CASE 2

  9. CASE 2 2010-2011 • Patient unhappy with increasing facial lipohypertrophy along with dorsocervical fat pad

  10. CASE 2 2010-2011 • Doctor unhappy with following lab results

  11. CASE 2 WHAT DO YOU DO? ….. ?Nothing ?Switch Tenofovir ?Switch Atazanavir ?Switch both… If so, to what?

More Related