Cutaneous manifestations of HIV in the era of highly active antiretroviral therapy: An institutional urban clinic experience

Widespread introduction of highly active antiretroviral therapy (HAART) in the mid 1990s has altered the presentation of the cutaneous manifestations associated with HIV infection. Our purpose was to evaluate the use of HAART on the prevalence and spectrum of cutaneous manifestations in HIV-infected...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2006-04, Vol.54 (4), p.581-588
Hauptverfasser: Zancanaro, Pedro C. Queiroz, McGirt, Laura Y., Mamelak, Adam J., Nguyen, Ruby H.-N., Martins, Ciro R.
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container_end_page 588
container_issue 4
container_start_page 581
container_title Journal of the American Academy of Dermatology
container_volume 54
creator Zancanaro, Pedro C. Queiroz
McGirt, Laura Y.
Mamelak, Adam J.
Nguyen, Ruby H.-N.
Martins, Ciro R.
description Widespread introduction of highly active antiretroviral therapy (HAART) in the mid 1990s has altered the presentation of the cutaneous manifestations associated with HIV infection. Our purpose was to evaluate the use of HAART on the prevalence and spectrum of cutaneous manifestations in HIV-infected patients. A study of the initial visits of 897 HIV-infected patients at an urban dermatology clinic between 1996 and 2002 was performed. Folliculitis was the most common cutaneous disorder identified. Patients with CD4-positive cell counts less than 200 cells/mm 3 had an increased prevalence of folliculitis and prurigo nodularis, whereas those with HIV viral loads higher than 55,000 copies/mL had a higher prevalence of idiopathic pruritus and candidiasis. Patients not receiving HAART had increased rates of folliculitis and prurigo nodularis. Patients receiving HAART had increased rates of photosensitivity and molluscum contagiosum. This was a cross-sectional study in which temporality was unable to be determined. With ongoing therapeutic advancements, the cutaneous manifestations associated with HIV infection will continue to evolve.
doi_str_mv 10.1016/j.jaad.2005.12.030
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subjects Adult
Antiretroviral Therapy, Highly Active
Biological and medical sciences
Child
Dermatology
Female
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - virology
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Skin Diseases - complications
Skin Diseases - pathology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral Load
title Cutaneous manifestations of HIV in the era of highly active antiretroviral therapy: An institutional urban clinic experience
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