Abstract
A Revista Brasileira de Cirurgia Plástica é o órgão oficial de divulgação da Sociedade Brasileira de Cirurgia Plástica (SBCP), tem como objetivo registrar a produção científica em Cirurgia Plástica, fomentar o estudo, aperfeiçoamento e atualização dos profissionais da especialidade.
Highlights
Treatment of patients with acquired immunodeficiency syndrome should be complete and based on controlling the disease and the complications related to the use of antiretroviral medications, such as lipodystrophy
The mechanisms leading to lipodystrophy are quite complex, and symptoms can range from changes in lipid metabolism to changes in eating habits among patients treated with antiretroviral therapy[5,6]
This study was conducted at the Plastic Surgery Service of the Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto, University of São Paulo, HC-FMRP-USP. This is a retrospective, observational, and descriptive study in which data were collected from the medical records of 27 patients who underwent 36 surgical procedures associated with lipodystrophy correction in body areas other than the face between March 2010 and June 2014
Summary
Treatment of patients with acquired immunodeficiency syndrome should be complete and based on controlling the disease and the complications related to the use of antiretroviral medications, such as lipodystrophy. This study aimed to evaluate the main complaints, epidemiological aspects, and surgical procedures performed for lipodystrophy correction among patients receiving long-term antiretroviral therapy. Antiretroviral therapy-induced lipodystrophy is becoming increasingly common worldwide, as it is one of the most frequent disorders found in patients infected with human immunodeficiency virus (HIV)[1,2,3]. The patient can present with conditions ranging from a loss of fat in the subcutaneous tissue (lipoatrophy) to fat accumulation in unusual areas, such as the posterior cervical region[5,8]. These changes can be simultaneously manifested by the same patient. The mechanisms leading to lipodystrophy are quite complex, and symptoms can range from changes in lipid metabolism to changes in eating habits among patients treated with antiretroviral therapy[5,6]
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