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Prevalence and incidence of anal high-grade squamous intraepithelial lesions in a cohort of cisgender men and transgender women who have sex with men diagnosed and treated during acute HIV acquisition in Bangkok, Thailand.

Supanat ThitipatarakornNipat TeeratakulpisarnSiriporn NonenoyAphakan KlinsukontakulSujittra SuriwongJirat MakpholPiranun HongchookiatThanyapat Chaya-AnanchotNapasawan ChinlaertworasiriPravit MingkwanrungruangCarlo SacdalanKultida PoltaveeTippawan PankamStephen J KerrReshmie A RamautarsingDonn ColbyPraphan Phanuphak
Published in: Journal of the International AIDS Society (2024)
With antiretroviral therapy initiation during acute HIV acquisition, we found the prevalence of anal HSIL among cisgender men and transgender women who have sex with men to be similar to those without HIV. Subsequent anal HSIL incidence, although lower than that of those with chronic HIV acquisition, was still higher than that of those without HIV. Screening for and management of anal HSIL should be a crucial part of long-term HIV care for all MSM.
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