本文报道临床和免疫学表现符合获得性免疫缺陷症候群(AIDS)但有严重胃肠道症状的29例海地成人(19例男,10例女)。胃肠道表现最突出的是慢性腹泻(27/29例),24例超过6个月。腹泻为持续性或间歇性,水样,治疗无效。反复粪细菌培养和镜检寄生虫和炎性细胞;除1例有钩虫外,均为阴性。白色念珠菌见于22例;隐孢子虫在11例中至少发现1次,其中6例在6周中反复找到。其它临床表现有厌食、持久发热(多为弛张热)、无力、体重显著减轻、食管和口腔白色念珠菌病(27/29)、咳嗽(55%)、疱疹和丘疹样皮损(59%)等。8例的毛发变成细丝样。9例中度淋巴结肿大,活检3例为结核,6例为非特异性增生。11例存活患者的 In this paper, 29 Haitian adults (19 males and 10 females) with clinical and immunological findings that conformed to Acquired Immune Deficiency Syndrome (AIDS) but had severe gastrointestinal symptoms were reported. The most prominent gastrointestinal manifestations of chronic diarrhea (27/29 cases), 24 cases of more than 6 months. Diarrhea is persistent or intermittent, watery and ineffective. Repeated fecal bacteria culture and microscopic examination of parasites and inflammatory cells; except 1 case of hookworm, were negative. Candida albicans found in 22 cases; Cryptosporidium in 11 cases found at least once, of which 6 cases repeatedly found in 6 weeks. Other clinical manifestations include anorexia, persistent fever (mostly flaccid), weakness, weight loss, oral and candidal candidiasis (27/29), cough (55%), herpes and papular lesions (59% )Wait. 8 cases of hair becomes a filament-like. 9 cases of moderate lymphadenopathy, biopsy in 3 cases of tuberculosis, 6 cases of non-specific proliferation. Eleven surviving patients