Diferencia entre revisiones de «Pruritic papular eruption of HIV»
(Created page with "==Background== *Most common rash of HIV *Presenting symptom of HIV in up to ~80% cases *3x more common when CD4 count < 200 *Up to 46% of HIV pts have this rash at some time *...") |
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| Línea 3: | Línea 3: | ||
*Presenting symptom of HIV in up to ~80% cases | *Presenting symptom of HIV in up to ~80% cases | ||
*3x more common when CD4 count < 200 | *3x more common when CD4 count < 200 | ||
*Up to 46% of HIV pts have this rash at some time | *Up to 46% of HIV pts have this rash at some time of disease course | ||
*Diagnosis of exclusion | *Diagnosis of exclusion | ||
Revisión del 23:32 2 may 2016
Background
- Most common rash of HIV
- Presenting symptom of HIV in up to ~80% cases
- 3x more common when CD4 count < 200
- Up to 46% of HIV pts have this rash at some time of disease course
- Diagnosis of exclusion
Clinical Features
- Pruritic
- Diffusely, symmetrically distributed rash
- Discrete red bumps initially
- Extremities/trunk > face
- Mucous membrane sparing
Differential
- Folliculitis
- Cellulitis
- Fungal infection
- HSV infection
- HPV warts
- Drug reaction
- Insect bites
- Porphyria
Treatments
- Initially topical steroids, emollients, PO antihistamines
- UV phototherapy for refractory cases
Disposition
- Outpatient dermatology f/u
- Average time for recurrence of skin condition ~8 wks
Sources
- Tallon B. Pruritic papular eruption of HIV. DermNet NZ. http://www.dermnetnz.org/viral/papulopruritic-hiv.html.
- Cutaneous manifestations of HIV in the era of highly active antiretroviral therapy: an institutional urban clinic experience. Zancanaro PC et al. J Am Acad Dermatol. 2006 Apr;54(4):581-8.
- Schwartz RA et al. Cutaneous Manifestations of HIV. eMedicine. Updated Apr 27, 2015. http://emedicine.medscape.com/article/1133746-overview#showall.