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Article   |    
Clinical Presentations of AIDS and HIV Infection in State Psychiatric Facilities
Ewald Horwath; Martin Kramer; Francine Cournos; Maureen Empfield; George Gewirtz
Psychiatric Services 1989; doi:
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Community Service Inpatient Unit at New York State Psychiatric Institute, 722 West 168th Street, New York, New York 10032

Committee at Kingsboro Psychiatric Center in Brooklyn, New York

Washington Heights Community Service of the New York State Psychiatric Institute

Creedmoor Psychiatric Center in Queens, New York

1989 by the American Psychiatric Association

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Abstract

The epidemiologic, neuropsychiatric, and medical data on AIDS and HIV infection that are relevant to state psychiatric facilities are reviewed. The epidemiologic data suggest that a larger than expected number of AIDS patients may be seen in these facilities. Patients who are severely disturbed and psychotic may present to state hospitals with HIV encephalopathy. In patients who are chronically and severely ill, physical symptoms, including oral and cutaneous conditions, the HIV wasting syndrome, and lymphadenopathy, may provide early dues to HIV infection. The early neuropsychiatric and medical findings in HIV infection are discussed, and a clinical case is presented.

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