Skin and mucosal lesions in the course of HIV infection
DOI:
https://doi.org/10.12775/JEHS.2024.51.003Keywords
HIV, Skin DiseasesAbstract
Introduction:
Dermatological conditions are prevalent expressions of HIV and AIDS, often aiding in initial diagnoses due to their visibility on the skin and mucous membranes. Given HIV's primary transmission through sexual contact, dermatologists play a crucial role in identifying and managing these infections. Understanding the range of skin and mucosal lesions occurring throughout the course of the disease is vital, particularly as these symptoms can manifest in atypical ways or even precede other signs of immune deficiency. While most associated skin disorders can be treated in outpatient settings, some severe conditions significantly impact health outcomes.
Aim of the study:
The study aims to consolidate knowledge on the typical manifestations of HIV on the skin and mucous membranes, providing a comprehensive overview of these disease entities. The most common skin and mucosal symptoms associated with HIV infection are summarized and described.
Materials and methods:
The literature available in the PubMed database was reviewed using the following keywords: “HIV”, “AIDS”, “Skin lesions”, “Mucosal lesions”.
Conclusions:
Skin conditions are widespread in HIV-infected individuals, often displaying heightened severity compared to the general population. While many of these dermatological issues aren't unique to this group, their manifestations can be more pronounced. HIV-related skin problems vary widely, including specific eruptions linked to AIDS, opportunistic infections, and AIDS-related cancers. Although some HIV-associated skin diseases have decreased due to antiretroviral therapy, there's been a noticeable increase in drug reactions and other non-infectious skin conditions.
References
Grayson W. Hospital-Based Dermatopathology. Berlin, Germany. Human immunodeficiency virus (HIV)-Associated dermatoses and malignancy. 2020;823–884
Khondker L. Dermatological manifestations of HIV/AIDS patients. Journal of Enam Medical College. 2019;9(3):185–188
https://doi.org/10.3329/jemc.v9i3.43249
Mankahla A, Mosam A. Common skin conditions in children with HIV/AIDS. Am J Clin Dermatol. 2012;13(3):153–66
https://doi.org/10.2165/11593900-000000000-00000
Kaushik SB, Cerci FB, Miracle J, Pokharel A, Chen SC, Chan YH, et al. Chronic pruritus in HIV-positive patients in the southeastern United States: its prevalence and effect on quality of life. J Am Acad Dermatol. 2014;70(4):659–64 https://doi/org/10.1016/j.jaad.2013.12.015
Vellaisamy S, Mohammed S, Gopalan K, Sukumaran L, Valan A. S. Prevalence of pruritic papular eruption among HIV patients: a cross-sectional study. Indian Journal of Sexually Transmitted Diseases and AIDS. 2019;40(2):146–151 https://doi/org/10.4103/ijstd.IJSTD_69_18
Kaul S, Kaur I, Mehta S, Singal A. Cutaneous tuberculosis. Part I: pathogenesis, classification, and clinical features. Journal of the American Academy of Dermatology . 2022;22:S0190–S9622
https://doi.org/10.1016/j.jaad.2021.12.063
Herzmann C, Esser S, Lange C. Infections with non-tuberculous mycobacteria in HIV-infected patients. Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete. 2011;62(4):272–279
https://doi.org/10.1007/s00105-010-2104-7
Groves MJ. Genital Herpes: A Review. Am Fam Physician. 2016;93(11):928-934.
Dreyer G. Clinical implications of the interaction between HPV and HIV infections. Best Pract Res Clin Obstet Gynaecol. 2018;47:95-106. https://doi.org/10.1016/j.bpobgyn.2017.08.011
Martin P. Interventions for molluscum contagiosum in people infected with human immunodeficiency virus: a systematic review. Int J Dermatol. 2016;55(9):956-966.
https://doi.org/10.1111/ijd.13267
Pomerantz HS, Xu X, White J, et al. Association between quantitative varicella-zoster virus antibody levels and zoster reactivation in HIV-infected persons. AIDS Res Ther. 2018;15(1):25. Published 2018 Dec 11 https://doi.org/10.1186/s12981-018-0212-0
Newton DW, Vandepoele N, Yundt-Pacheco JC, Gauthier D, Bachman MA. Management of Cytomegalovirus, Epstein-Barr Virus, and HIV Viral Load Quality Control Data Using Unity Real Time. J Clin Microbiol. 2022;60(1):e0167521.
https://doi.org/10.1128/JCM.01675-21
Husak R, Garbe C, Orfanos CE. Oral hairy leukoplakia in 71 HIV-seropositive patients: clinical symptoms, relation to immunologic status, and prognostic significance. J Am Acad Dermatol. 1996;35(6):928-934.
https://doi.org/10.1016/s0190-9622(96)90117-6
Schwartz JR, Messenger AG, Tosti A, et al. A comprehensive pathophysiology of dandruff and seborrheic dermatitis: towards a more precise definition of scalp health. Acta Dermato-Venereologica. 2013;93(2):131–137
https://doi.org/10.2340/00015555-1382
Cortés-Correa C, Piquero-Casals J, Chaparro-Reyes D, Garré Contreras A, Granger C, Peñaranda-Contreras E. Facial seborrheic dermatitis in HIV-seropositive patients: evaluation of the efficacy and safety of a non-steroidal cream containing piroctone olamine, biosaccharide gum-2 and stearyl glycyrrhetinate-a case series. Clinical, Cosmetic and Investigational Dermatology. 2022;15:483–488 https://doi/org/10.2147/CCID.S344807
Fishbein AB, Silverberg JI, Wilson EJ, Ong PY. Update on atopic dermatitis: diagnosis, severity assessment, and treatment selection. Journal of Allergy and Clinical Immunology: In Practice . 2020;8(1):91–101
https://doi/org/10.1016/j.jaip.2019.06.044
Queirós N, Torres T. HIV-associated psoriasis. Actas Dermo-Sifiliográficas . 2018;109(4):303–311
https://doi.org/10.1016/j.adengl.2018.02.020
Moreira JA, Freitas DF, Lamas CC. The impact of sporotrichosis in HIV-infected patients: a systematic review. Infection. 2015;43(3):267–276 https://doi/org/10.1007/s15010-015-0746-1
Chelidze K, Thomas C, Chang AY, Freeman EE. HIV-Related Skin Disease in the Era of Antiretroviral Therapy: Recognition and Management. Am J Clin Dermatol. 2019;20(3):423–42
https://doi.org/10.1007/s40257-019-00422-0
Rodgers S, Leslie KS. Skin infections in HIV-infected individuals in the era of HAART. Curr Opin Infect Dis. 2011;24(2):124–9
https://doi/org/10.1097/qco.0b013e328342cb31
Maniar J, Chitale A, Miskeen A, Shah K, Maniar A. Penicillium marneffei infection: an AIDS-defining illness. Indian Journal of Dermatology, Venereology and Leprology. 2005;71(3):p.202
https://doi.org/10.4103/0378-6323.16241
Paparizos V, Vasalou V, Velissariou E, Kourkounti S, Daskalakis E, Rigopoulos D. Norwegian scabies presenting as erythroderma in HIV: a case report. Infez Med. 2019;27(3):332–335
Hsu Chao-Kai, Hsu Mark Ming-Long, Lee Julia Yu-Yun. Demodicosis: A clinicopathological study. Journal of the American Academy of Dermatology. 2009;60(3): 453–62
https://doi/org/10.1016/j.jaad.2008.10.058
Rajendran P, High WA, Maurer T. HIV-Associated Eosinophilic Folliculitis. Waltham, MA, USA: UpTodate; 2021.
Jafari S, Hajiabdolbaghi M, Mohebali M, Hajjaran H, Hashemian H. Disseminated leishmaniasis caused by Leishmania tropica in HIV-positive patients in the Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2010;16(03):340–343
https://doi/org/10.26719/2010.16.3.340
Antman K, Chang Y. Kaposi's sarcoma. N Engl J Med. 2000;342:1027–1038
https://doi/org/10.1056/NEJM200004063421407
Beral V, Peterman TA, Berkelman RL, Jaffe HW. Kaposi's sarcoma among persons with AIDS: a sexually transmitted infection? Lancet. 1990;335:123–128
https://doi/org/10.1016/0140-6736(90)90001-l
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Copyright (c) 2024 Wiktoria Jakubowska, Daniel Ślusarczyk, Piotr Pisera, Aleksandra Kiełkowicz, Filip Pactwa, Zuzanna Popińska, Bartłomiej Żmuda, Michał Żuberek
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