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HIV Enteropathy — SCE Infectious Diseases MCQ

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HardHIV MedicineHIV EnteropathySCE Infectious Diseases

A person with virologically suppressed HIV has chronic diarrhoea, negative repeated pathogen testing and no medicine cause. Endoscopy is macroscopically normal, while biopsy shows villous blunting and crypt hyperplasia. Which diagnosis remains after coeliac disease and inflammatory bowel disease are excluded?

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Correct answer: B — HIV enteropathy after exclusion of infection, medicines and non-HIV disease

The best answer is “HIV enteropathy after exclusion of infection, medicines and non-HIV disease”. HIV enteropathy is considered only after a structured search for infection, medicine toxicity and non-HIV gastrointestinal disease; suppression of plasma viraemia does not make the diagnosis impossible. BHIVA guidance governs investigation and treatment of HIV-associated disease and supports standard specialist care when HIV is virologically controlled.

Reference: BHIVA clinical guidelines: https://bhiva.org/clinical-guidelines/