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April 25, 1990

AIDS and Infections of Homosexual Men

JAMA. 1990;263(16):2257-2258. doi:10.1001/jama.1990.03440160119053

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We have seen tremendous advances in our knowledge of the acquired immunodeficiency syndrome (AIDS). The viral etiology has been proved beyond any shadow of a doubt, much of the public hysteria has abated, new approaches to diagnosis of and therapy for opportunistic infections have emerged, and prevention of some of those infections has become a reality. In the AIDS era, too, we often forget that sexually transmitted diseases (STDs) remain serious personal and public health problems. It is important to recall that fear of AIDS may only temporarily dissuade promiscuity, and that STDs could well return to or surpass levels seen in the 1970s.

This second edition of AIDS and Infections of Homosexual Men provides an opportunity to bring us up-to-date. It is really two books in one. The first half addresses homosexually transmitted infections—for example, chlamydial proctitis, intestinal parasitic infection, hepatitis B, and syphilis. A chapter on cryptosporidiosis has