Dermatological manifestations in human immunodeficiency virus-infected patients at a tertiary care hospital at P.D.U. Medical College and Hospital, Rajkot, Gujarat
Journal Title: International Journal of Medical Science and Public Health - Year 2017, Vol 6, Issue 7
Abstract
Background: Human immunodeficiency virus (HIV) infection produces a panorama of mucocutaneous manifestations, which may be the presenting feature of the disease. Up to 90% individuals with HIV infection experience oral and or cutaneous complications during their illness. Objectives: Objectives of the study were to study the mucocutaneous manifestations profile of HIV-seropositive patients. Materials and Methods: A total of 500 HIV-seropositive patients attending skin OPD during November 2012-September 2014, a 2 years study, were assessed for various mucocutaneous manifestations. Results: Maximum number of patients 374 (74.80%) belonged to the age group (25-49 years) with males being more commonly affected M: F-1.6:1. Low socioeconomic class 477 (95.40%), illiterate 195 (39%), laborer 234 (46.80%), and married 468(93.60%) patients were the most commonly affected ones. Heterosexual 418 (83.60%) mode of transmission was the most common. Monogamic patients were maximum with 417 (83.40%) and 390 (78%) cases had seronegative partners. Among infections and infestation, the most common was dermatophytosis 132 (26.40%) followed by herpes simplex 53 (10.60%), multiple pyoderma in 46 (9.20%) cases, Scabies was seen in 15 (3%) patients with the most common oral lesion being candidiasis (35.71%). Pruritus was associated in 51 (10.20%) patients. CD4 count was more than 200 cells/mm3 in 375 (75.00%) patients. Among total 14 patients with oral mucosal involvement, the most common was oral candidiasis in 5 (35.71%) patients. Of the total 25 patients with cutaneous drug reactions, morbilliform rash was the most common in 11 (44%) patients. Maximum number of cases 4 (44%) had nevirapine as the culprit drug. Conclusion: Mucocutaneous manifestations of HIV help in early identification of HIV cases. Better implementation of current strategies is needed to increase awareness and safe sexual behavior of the population.
Authors and Affiliations
Sweta Patel, Bhuvnesh Shah, Neela Bhuptani
Keywords
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- EP ID EP317627
- DOI 10.5455/ijmsph.2017.1169024112015
- Views 69
- Downloads 0
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