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Cutaneous Manifestations of Aids

»How significant is the occurrence of skin disease in the setting of HIV infection?
»Outline the clinical spectrum of cutaneous disease associated with HIV infection.
»What are the most common dermatoses associated with HIV infection?
»Can mucocutaneous changes occur as a result of primary HIV infection?
»What is the most common bacterial pathogen in HIV disease? How does it manifest itself?
»What is the most common cutaneous malignancy in HIV disease?
»What are the cutaneous clinical features of epidemic Kaposi’s sarcoma?
»How is Kaposi’s sarcoma treated?
»Is the course of syphilis altered in HIV-infected individuals?
»How does syphilis increase the risk for HIV infection?
»What is oral hairy leukoplakia?
»Name the four types of oropharyngeal candidiasis that can be seen in HIV disease.
»What is HIV-associated eosinophilic folliculitis?
»Is the incidence of drug eruptions increased in HIV disease?
»Describe clinical features of molluscum contagiosum infection in the HIV-infected host.
»How is molluscum contagiosum treated?
»Is the prevalence of common and genital warts increased in HIV infection?
»What causes bacillary angiomatosis?
»How does varicella-zoster virus infection present in the HIV-positive patient?
»Do any photosensitive dermatoses occur in HIV disease?
»What is known about granuloma annulare in the setting of HIV infection?
»Describe some of the potential cutaneous side effects of antiretroviral therapy.
»What is the immune restoration syndrome?

 
 
 

Outline the clinical spectrum of cutaneous disease associated with HIV infection.

 
See Table 39-1.


Table 39-1. Mucocutaneous Diseases Seen in HIV Infection*
  NEOPLASTIC DISEASES   INFECTIOUS DISEASES
 
Kaposi’s sarcoma
Lymphoma
Squamous cell carcinoma
Basal cell carcinoma
 
Bacterial
Staphylococcus aureus infections
Syphilis
Bacillary angiomatosis

Fungal
Candida, Penicillium marneffei
Dermatophytosis
Cryptococcosis
Histoplasmosis

Viral
Human papillomavirus (HPV)
Molluscum contagiosum
Herpes simplex virus (HSV)
Varicella-zoster virus (VZV)
Cytomegalovirus (CMV)
Epstein-Barr virus

Arthropods
Scabies
 
PAPULOSQUAMOUS DISEASES
 
 
Seborrheic dermatitis
Xerosis/acquired ichthyosis
Psoriasis
Reiter’s syndrome
 
 
MISCELLANEOUS DISEASES
 
 
Eosinophilic folliculitis
Drug eruptions
Hyperpigmentations
Photoeruptions
Pruritus
Lipodystrophy
Granuloma annulare
Aphthosis
 
  *Costner M, Cockerell CJ: The changing spectrum of the cutaneous manifestations of HIV disease, Arch Dermatol 134:1290–1292, 1998.

Dover JS, Johnson RA: Cutaneous manifestations of human immunodeficiency virus infection: parts 1 and 2, Arch Dermatol 127:1383–1391, 1549–1558, 1991.

James W, editor: AIDS: a ten-year perspective, Dermatol Clin 9:391–615, 1991.