Dermatological aspects of HIV infection: personal clinical observation
Journal Title: Український журнал дерматології, венерології, косметології - Year 2019, Vol 0, Issue 1
Abstract
Skin and mucous membrane lesions are significant clinical manifestations of HIV infection. Dermatoses associated with HIV infection are characterized by persistent, increasing severity. Atypical symptoms may occur. These dermatoses are resistant to therapy. They are often associated with lymphadenopathy. These criteria are sufficient grounds for supposing the presence of HIV infection, especially when taking into account visceral and systemic abnormalities, as well as the general status of the patient. Up to 92 % of HIV-infected people suffer from various dermatoses. In 72 % of patients, two or more skin diseases occur simultaneously. Skin and mucous membrane lesions in patients with HIV are often one of the first manifestations of HIV infection. Hence, the role of the dermatovenerologist consists in the timely detection of HIV infection. The spectrum of skin lesions in HIV infection is extremely wide. Conventionally, there are three main groups of dermatoses: infectious, noninfectious and neoplastic. Clinical examples were given of skin pathologies manifestation in HIVinfected patients as the first HIV infection display in the patients. Examination on HIV infection was conducted in the clinicodiagnostic laboratory of regional communal establishment «Kryvyi Rih Dermatovenerologic dispensary» with making rapid immunochromatographic tests «Wantai BioPharm» and carrying out immunoassay studies using immunoassay systems for the determination of antibodies to the human immunodeficiency virus of the first and second types «Recombinant-HIV 1,2-MBA MedBioAlliance, Ukraine». HIV-status in the inspected patients was confirmed by the referencelaboratory of Kryvyi Rih AIDS Prevention and Control Centre. Clinical cases of HIV infection in patients with various dermatoses were considered, in particular, in a patient with seborrheic dermatitis and disseminated streptoderma, in a patient with pustular psoriasis, in a patient with rosacea. Cases of HIV associated with toxicoderma and urticaria were described. The presence of various opportunistic infections in HIV-infected patients, as well as various dermatological manifestations, requires greater vigilance of dermatologists and family doctors as first-time doctors in order to improve timely diagnosis and treatment effectiveness.
Authors and Affiliations
I. V. Kuleshov, V. M. Lin, M. M. Tsabak, O. M. Kiriutsov, S. V. Kuleshova, T. L. Dmytrychenko, L. M. Trubchaninova, G. L. Kruglenko
Keywords
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- EP ID EP582706
- DOI 10.30978/UJDVK2019-1-98
- Views 89
- Downloads 0
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