Bernárdez CY, Curbelo AM, Cabrera AGC, Sabatés MMM, Cabrera PMJ

Language: Spanish
References: 8
Page: 722-730
PDF size: 367.35 Kb.

ABSTRACT

Background: patients with human immunodeficiency virus frequently develop skin conditions that affect their quality of life and modify their prognosis.
Objective: to describe the most common skin conditions in patients with human immunodeficiency virus.
Methods: a case-series study of patients with human immunodeficiency virus was conducted in the province of Cienfuegos. It included all patients diagnosed until February 2008 attending the internal medicine consultation for their follow-up. Forty-seven deceased patients, 12 patients not living in the province and 2 inmates were excluded from the study. Variables analyzed were: age, sex, skin color, self-reported skin conditions and diagnosed skin diseases.
Results: Thirty-eight percent of patients were aged 25 to 34 years. Fifty-seven were white-skinned and 75% were male. Approximately half of the patients had AIDS and were under antiretroviral therapy. The skin infection of viral origin most commonly found was herpes simplex (30.0%); of fungal origin, onychomycosis (44 %); and of bacterial origin, folliculitis (43 %). Among papulosquamous disorders, seborrheic dermatitis (74 %) predominated and among other skin disorders, lipodystrophy (23.6 %). Xerosis and pruritus shared equal percentage (16.3%).
Conclusions: viral and fungal skin infections predominated. An important number of these skin conditions were diagnosed during the study, particularly in AIDS patients.

REFERENCES

1. Lamotte Castillo JA. Infección-enfermedad por VIH/ sida. MEDISAN [revista en Internet]. 2004 [ cited 3 Jul 2015 ] ; 8 (4): [aprox. 14p]. Available from: http://bvs.sld.cu/revistas/san/vol8_4_04/san0640 4.htm.

2. Johnson RA. Manifestaciones cutáneas de la enfermedad por el virus de la inmunodeficiencia humana. In: Goldsmith L, Katz S, Gilchrest B, Paller A, Leffell D, Wolff K. Dermatología en Medicina General. T II. 8va. ed. Madrid: Editorial Médica Panamericana; 2014. p. 123-58.

3. Garza-Garza R, González-González SE, Ocampo-Candiani J. Manifestaciones cutáneas del VIH. Gaceta Médica de México. 2014 ; 150 Suppl 2: S194-221.

4. Vilata Corell JJ, Rodríguez-Cerdeira C, Solla Acuña MJ, Hernández Bel P, Alcántara Cáceres R, López Davia J. Manifestaciones cutáneo-mucosas producidas por el virus de la inmunodeficiencia adquirida. In: Vilata Corell JJ. Manual de dermatología y venereología: atlas y texto. Buenos Aires: Editorial Médica Panamericana; 2008. p. 695-71.

5. Navarrete-Dechent C, Ortega Rinna FF, Concha M. Manifestaciones dermatológicas asociadas a la infección por VIH/SIDA. Rev Chil Infectol. 2015 ; 32 Suppl 1: S57-71.

6. Pech-Ortiz LG, Pérez-Cortés S, Peralta-Pedrero ML. Manifestaciones dermatológicas en los pacientes con VIH y su correlación con la cantidad de linfocitos CD4 en la Clínica de Infecciones de Trasmisión Sexual del Centro Dermatológico Dr. Ladislao de la Pascua. Dermatol Rev Mex. 2014 ; 58: 3-9.

7. Tschachler E. The dermatologist and the HIV/AIDS pandemic. Clin Dermatol. 2014 ; 32 (2): 286-9.

8. Piot P, Quinn TC. Response to the AIDS pandemic-a global health model. N Engl J Med. 2013 ; 368: 2210-8.