Topical immune modulation with dinitrochlorobenzene in HIV disease: a controlled trial from Brazil

Dermatology : International Journal for Clinical and Investigative Dermatology
A TraubR B Stricker

Abstract

Despite the rapid spread of human immunodeficiency virus (HIV) in the developing countries of Africa, Asia and Latin America, accessible and affordable antiretroviral therapies have not been developed. Dinitrochlorobenzene (DNCB) is an inexpensive contact sensitizing agent that stimulates cell-mediated immunity when applied to the skin. We have examined the clinical and immunologic effects of topical DNCB therapy in a cohort of indigent patients with HIV disease from Brazil. Thirty-five HIV-infected subjects were divided into a control group that refused DNCB therapy (6 patients) and a treatment group that applied topical DNCB on a weekly basis throughout the study (29 patients). Subjects were monitored for adverse clinical events, progression to AIDS and changes in body weight. CD4 and CD8 T-cell counts were also monitored in both groups. Control and treated patients were evenly matched in terms of age, initial clinical status and prior adverse clinical events. The mean follow-up was 19.7 months for the control group and 17.8 months for the DNCB group. Control patients had significantly more adverse clinical events and progression to AIDS during the study than the treatment group (p = 0.002 and p = 0.013, respectively). There ...Continue Reading

Citations

Mar 6, 2012·Immunologic Research·A PopovM Kataranovski
Nov 19, 2002·Clinics in Dermatology·Elisabeth Higgins, Anthony du Vivier
Dec 1, 2001·Free Radical Biology & Medicine·J Nordberg, E S Arnér
Sep 5, 2001·The British Journal of Dermatology·D A Buckley, A W Du Vivier
Apr 14, 2009·International Immunopharmacology·Masahiro Yamaji, Jutaro Shudo
Nov 21, 2000·Lancet·R De Lancie
May 11, 2017·Cutaneous and Ocular Toxicology·Aleksandra Popov AleksandrovMilena Kataranovski
Aug 19, 2000·Lancet·J H Weisburger
Jan 1, 2004·Toxicology Mechanisms and Methods·Deniz Yildiz, Tulay Bagdadioglu

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