Clinical issues in HIV - 2017

Comment
David Hicks
pp 1-1
Welcome to the first issue of the relaunched journal Clinical issues in HIV, which is kindly supported by an educational grant from Gilead Sciences Ltd. The main objective of the journal is to share insights and best practice on treating patients living with HIV, and the challenges and opportunities healthcare professionals managing patients with HIV are faced with. Each issue will contain two articles from experts in the field, each presenting an exciting and thought-provoking case that evokes question and debate, while focusing on the clinical practice perspective.

Osteoporosis: causes, diagnosis and treatment
Karen Walker- Bone
pp 2-4
A 50-year-old Gambian woman (Mrs A) presented as an emergency with acute pain, swelling and deformity of her left wrist after a fall on an icy pavement. X-rays demonstrated a Colles’ fracture, for which a backslab was fitted and she was asked to return to the fracture clinic for follow-up. Mrs A had immigrated to the UK 19 years previously. During routine testing when pregnant with her first child (18 years ago), she was found to have HIV infection and was started on antiretroviral therapy.

Gestations with mutations: multidrug resistance and viraemia in pregnancy
Deborah Kirkham and Margaret Kingston
pp 5-6
Viral load blips, low-level viraemia and virological failure are common problems in patients with HIV infection on antiretroviral treatment.