Indian Journal of Dermatology
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Table of Contents 
Year : 2014  |  Volume : 59  |  Issue : 2  |  Page : 198
Discordant HIV couple

1 Wiwanitkit House, Bangkhae, Bangkok
2 Hainan Medical University, China

Date of Web Publication21-Feb-2014

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.127689

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How to cite this article:
Wiwanitkit S, Wiwanitkit V. Discordant HIV couple. Indian J Dermatol 2014;59:198

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Discordant HIV couple. Indian J Dermatol [serial online] 2014 [cited 2023 Sep 25];59:198. Available from:


The recent report on discordant HIV couple is very interesting. [1] Ravikumarand Balakrishna reported on 35 couples and concluded that "inherent resistance to HIV in some individuals may be the reasons for the discordance." [1] We would like to share the experience on the same thing in our settings. There are similar 5 couples in our settings, and husbands were positive in all cases. Of interest, all cases have regular sexual contact, which can support the findings by Ravikumarand Balakrishna. [1] What the contribution to these interesting couples is the topic for further discussion. There are many recent reports on the natural resistance to HIV virus attachment. The focus is usually on receptor and its biological pathway. Lund et al. reported on "a novel resistance mechanism to productive infection with R5 HIV-1 that potentially involves abnormal globotriaosylceramide catabolism." [2] Ratcliff et al. recently mentioned for the CD4 binding site mutation as an important explanation for HIV-1 resistance. [3]

   References Top

1.Ravikumar B, Balakrishna P. Discordant HIV couple: Analysis of the possible contributing factors.Indian J Dermatol 2013;58:405.  Back to cited text no. 1
  Medknow Journal  
2.Lund N, Branch DR, Sakac D, Lingwood CA, Siatskas C, Robinson CJ, et al. Lack of susceptibility of cells from patients with Fabry disease to productive infection with R5 human immunodeficiency virus. AIDS 2005;19:1543-6.  Back to cited text no. 2
3.Ratcliff AN, Shi W, Arts EJ. HIV-1 resistance to maraviroc conferred by a CD4 binding site mutation in the envelope glycoprotein gp120. J Virol 2013;87:923-34.  Back to cited text no. 3


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