Pruritic papular eruption of HIV
Revisión del 23:59 2 may 2016 de Ostermayer (discusión | contribs.)
Background
- Most common rash of HIV[1]
- 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
References
- ↑ 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.