Somebody elsewhere pointed out to me that these will give types that are not aliases of the common ones. I.e. __int8 isn't the same as either unsigned char or char. Probably won't make a difference most places, but what does?
That is also the case in usual implementations of stdint.h, where int8_t is defined to be `signed char`. In C and C++, `char`, `signed char`, and `unsigned char` are different types, and `char` is not guaranteed to be signed or unsigned---that's up to the implementation.
EDIT: looking at the documentation, it appears that __int8 is supposed to always be an alias for `char`, even as far back as 2003: https://msdn.microsoft.com/en-us/library/29dh1w7z(v=vs.71).a.... However, the workaround found in msinttypes suggests that Visual Studio 6 does have this problem. I weep for those still using it.