A CLINICAL OBSERVATIONAL STUDY OF OROCUTANEOUS MANIFESTATIONS IN PEOPLE LIVING WITH HIV/AIDS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 35
Abstract
CONTEXT India has third highest prevalence of HIV/AIDS patients in the world. There were an estimated 2.31 million (1.8-2.9 million) people living with HIV/AIDS (PLHA) in India in 2007, whereas, slightly declining to 2.1 million in 2013. Early diagnosis of this infection is important not only for effective treatment of the affected patient but also for prevention of further transmission to others. Cutaneous manifestations can be an early pointer to this infection and hence play an important role in the control of HIV/AIDS. They are also useful for clinical staging (WHO staging) of these patients for therapeutic and prognostic purposes, especially in the absence of sophisticated laboratory facilities, as in many parts of India. The profile of cutaneous manifestations in HIV/AIDS patients varies according to their CD4 count. Some of these manifestations are also unique to certain geographic areas. AIMS To study the local pattern of cutaneous and oral manifestations in people living with HIV/AIDS. SETTINGS AND DESIGN A clinical, observational study was conducted among patients consulting Dermatology, Venereology and Leprosy Department of a Tertiary Care, Medical College Hospital in Telangana State, South India. METHODS AND MATERIAL A total of 120 patients of HIV/AIDS, detected by ELISA or other tests, belonging to all age groups and sexes were included. RESULTS Most common cutaneous manifestations observed were pruritic papular rash (20.8%), scabies (12.5%), folliculitis (11.7%), dermatophytosis (10.8%), xerosis (10.8%), seborrhoeic dermatitis (10%), drug rashes (9.2%), candidal vaginitis (5%), molluscum contagiosum (4.2%), and herpes genitalis (3.3%). Oral candidiasis was the commonest oral mucosal manifestation (37.5%). CONCLUSION Most of the cutaneous and oral manifestations found in PLHA were concurrent with previous studies, but high incidence of pruritic papular rash is an interesting finding of this study
Authors and Affiliations
Nayeem Haneef
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