General paralysis of the insane and AIDS in old age psychiatry : Epidemiology, clinical diagnosis, serology and ethics : The way forward.
While the incidence of general paralysis of the insane (GPI) has declined, AIDS (acquired immune deficiency syndrome) has emerged as a new illness Today, in England and Wales, as many elderly people die from AIDS as from neurosyphilis. although both diagnoses are rare in this age group.
Both are serious medical conditions with psychiatric manifestations.
For both, serological tests may identify the disease, and treatment may be of benefit, but there is considerable social stigma attached to the diagnoses, Ethical guidelines for serological testing for HIV (human immunodeficiency virus) have been available for over a decade In view of the similarities between the diseases, it may be unethical to test patients for syphilis routinely.
Epidemiology. risk factors, neurological and neuropsychiatric features and ethics must be considered before testing for both syphilis and HIV. 1998 John Wiley & Sons.
Mots-clés Pascal : Paralysie générale, Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Trouble psychiatrique, SIDA, Virose, Epidémiologie, Diagnostic, Ethique, Sérologie, Personne âgée, Homme, Système nerveux pathologie, Système nerveux central pathologie, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Neurosyphilis, Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Mental disorder, AIDS, Viral disease, Epidemiology, Diagnosis, Ethics, Serology, Elderly, Human, Nervous system diseases, Central nervous system disease, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0091500
Code Inist : 002B05C02D. Création : 31/05/1999.