Frente al espanto o como mínimo desconcierto que causa el "dar positivo", no está demás volver a poner el listado de posibles causas del "positivo" del mal llamado "test de sida". El MAL empieza aquí. Sin el test el vih no existe. 

Por su inespecividad, su falta de rigor, según como yo lo veo, el test no sirve ni para buscar culpables ni tampoco para buscar inocentes. Es que no sirve, es desechable.

 

Posibles factores en orden alfabético (y sus referencias bibliográficas):


* Administración de preparados de inmunoglobulina humana recogidos antes de 1985 (10).

* Anticuerpos al HLA (a antigenos de los leucocitos Tipo I y II) (7, 10, 13, 43, 46, 48, 49, 53, 63).

* Anticuerpos anti-células parietales (48).

* Anticuerpos anticolágenos (encontrados en hombres homosexuales, hemofílicos, africanos de ambos sexos y personas con lepra) (31).

* Anticuerpos-antihidratos de carbono (13, 19, 52).

* Anticuerpos antilinfocitos (31, 56).

* Anticuerpos antimicrosomiales (34).

* Anticuerpos antimitocondriales (13, 48).

* Anticuerpos anti-músculos lisos (48).

* Anticuerpos antinucleares (13, 48, 53).

* Anticuerpos con una alta afinidad con el polistireno (utilizado en los equipos de pruebas) (3, 40, 62).

* Anticuerpos del antígeno de leucocitos de las células T (13, 48).

* Anticuerpos que se dan de forma natural (5, 19).

* Artritis reumatoide (36).

* Cirrosis biliar primaria (13, 43, 48, 53).

* Colangitis esclerosante primaria (48, 53).

* Embarazo en mujeres multíparas (13, 36, 43, 53, 58).

* Enfermedades autoinmunes (10, 29, 40, 43, 44, 49).

* Especímenes tratados con calor (24, 48, 49, 51, 57).

* Exposición a vacunas víricas o infección vírica recientes (11).

* Falsos positivos a otras pruebas, incluyendo el test RPR (rapid plasma reagent) para la sífilis (10, 17, 33, 48, 49).

* Fiebre Q con hepatitis asociada (61).

* Globulinas producidas durante gammopatías policlonales (que se observan en grupos de riesgos de SIDA) (10, 13, 48).

* Gripe (36).

* Hemofilia (10, 49).

* Hepatitis (54).

* Hepatitis alcohólica / enfermedad hepática alcohólica (10, 13, 32, 40, 43, 48, 49, 53).

* Herpes simple I (27).

* Herpes simple II (11).

* Hiperbilirrubinemia (10, 13).

* Hipergammaglobulemia (niveles altos de anticuerpos) (33, 40).

* IgM anti-Hbc (48).

* IgM (anticuerpos) anti-hepatitis A (48).

* Individuos sanos como resultado de reacciones cruzadas mal entendidas (10).

* Infección de las vías respiratorias superiores (resfriado o gripe) (11).

* Infecciones víricas agudas, infecciones víricas del ADN (13, 40, 43, 48, 53, 59).

* Inmunización pasiva: recepción de gammaglobulina o inmunoglobulina (como profilaxis contra infección que contiene anticuerpos) (4, 13, 18, 22, 26, 42, 43, 60).

* Insuficiencia renal (13, 23, 48).

* Insuficiencia renal / Hemodiálisis (10, 16, 41, 49, 56).

* Leishmaniasis visceral (45).

* Lepra (2, 25).

* Lupus eritematoso sistémico (15, 23).

* Lupus eritematoso sistémico, escleroderma, enfermedad del tejido conjuntivo, dermatomiositis.

Malaria (6, 12).

* Micobacterium avium (25).

* Mieloma múltiple (10, 43, 53).

* Neoplasmas malignos (cánceres) (40).

* Niveles altos de complejos inmunes circulantes (6, 33).

* Otros retrovirus (8, 13, 14, 48, 55).

* Proteínas en el papel de filtro (13).

* Ribonucleoproteínas humanas normales (13, 48).

* Sangre «pegajosa» (en africanos) (34, 38, 40).

* Seropositivos al factor reumatoide, anticuerpos antinucleares (ambos encontrados en la artritis reumatoide y otros autoanticuerpos) (14, 53, 62).

* Sexo anal receptivo (39, 64).

* Síndrome de Stevens-Johnson (9, 13, 48).

* Suero hemolizado (sangre en la que la hemoglobina se separa de las células rojas) (49).

* Suero lipémico (sangre con niveles altos de grasas o lípidos) (49).

* Terapia de alfa interferón en pacientes de hemodiálisis (54).

* Transfusiones sanguíneas, transfusiones sanguíneas múltiples (13, 36, 43, 49, 53, 63).

* Transplante de órganos (1, 36).

* Transplante de riñón (9, 13, 35, 48, 56).

* Trastornos hematológicos malignos / linfomas (9, 13, 43, 48, 53).

* Tuberculosis (25).

* Vacunación de la gripe (3, 11, 13, 20, 30, 43).

* Vacunación de la hepatitis B (21, 28, 40, 43).

* Vacunación del tétanos (40).

* Virus Epstein-Barr (37).

Referencias:



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3. Arnold Nl., Slade R.A., Jones M.M., et al, 1994. Donor follow up of influenza vaccine-related multiple viral enzume inmunoassay reactivity. Vox Sanguinis. 67:191.

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6. Biggar R., Melbye M., Sarin P., et al., 1985. ELISA HTLV retrovirus antibody reactivity associated with malaria and immune complexes in healthy Africans. Lancet. ii:520-543.

7. Blanton M., Balakrishnan K., Dumaswala U., et al, 1987. HLA antibodys in blood donors with reactive sreening tests for antibodys to the immunodeficiency virus. Transfusión. 27 (1):118.

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Artículo publicado en el número 47 de la revista «Medicina Holística». Edita:Asociación de Medicinas Complementarias

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