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HIV-associated distal neuropathic pain is associated with smaller total cerebral cortical gray matter

Overview of attention for article published in Journal of NeuroVirology, February 2014
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Title
HIV-associated distal neuropathic pain is associated with smaller total cerebral cortical gray matter
Published in
Journal of NeuroVirology, February 2014
DOI 10.1007/s13365-014-0236-8
Pubmed ID
Authors

John R. Keltner, Christine Fennema-Notestine, Florin Vaida, Dongzhe Wang, Donald R. Franklin, Robert H. Dworkin, Chelsea Sanders, J. Allen McCutchan, Sarah L. Archibald, David J. Miller, George Kesidis, Clint Cushman, Sung Min Kim, Ian Abramson, Michael J. Taylor, Rebecca J. Theilmann, Michelle D. Julaton, Randy J. Notestine, Stephanie Corkran, Mariana Cherner, Nichole A. Duarte, Terry Alexander, Jessica Robinson-Papp, Benjamin B. Gelman, David M. Simpson, Ann C. Collier, Christina M. Marra, Susan Morgello, Greg Brown, Igor Grant, J. Hampton Atkinson, Terry L. Jernigan, Ronald J. Ellis

Abstract

Despite modern antiretroviral therapy, HIV-associated sensory neuropathy affects over 50 % of HIV patients. The clinical expression of HIV neuropathy is highly variable: many individuals report few symptoms, but about half report distal neuropathic pain (DNP), making it one of the most prevalent, disabling, and treatment-resistant complications of HIV disease. The presence and intensity of pain is not fully explained by the degree of peripheral nerve damage, making it unclear why some patients do, and others do not, report pain. To better understand central nervous system contributions to HIV DNP, we performed a cross-sectional analysis of structural magnetic resonance imaging volumes in 241 HIV-infected participants from an observational multi-site cohort study at five US sites (CNS HIV Anti-Retroviral Treatment Effects Research Study, CHARTER). The association between DNP and the structural imaging outcomes was investigated using both linear and nonlinear (Gaussian Kernel support vector) multivariable regression, controlling for key demographic and clinical variables. Severity of DNP symptoms was correlated with smaller total cerebral cortical gray matter volume (r = -0.24; p = 0.004). Understanding the mechanisms for this association between smaller total cortical volumes and DNP may provide insight into HIV DNP chronicity and treatment-resistance.

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Mendeley readers

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The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
South Africa 1 2%
Unknown 65 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 17%
Student > Ph. D. Student 9 14%
Other 7 11%
Student > Bachelor 6 9%
Researcher 6 9%
Other 15 23%
Unknown 12 18%
Readers by discipline Count As %
Medicine and Dentistry 19 29%
Psychology 11 17%
Nursing and Health Professions 6 9%
Neuroscience 4 6%
Agricultural and Biological Sciences 3 5%
Other 7 11%
Unknown 16 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 February 2014.
All research outputs
#18,365,132
of 22,745,803 outputs
Outputs from Journal of NeuroVirology
#653
of 925 outputs
Outputs of similar age
#163,749
of 224,136 outputs
Outputs of similar age from Journal of NeuroVirology
#14
of 24 outputs
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