Erythroderma: a comparison between HIV positive and negative patients

Abstract

A large proportion of erythrodermic patients in this study were HIV positive. Inflammatory dermatoses were the commonest cause of erythroderma in all the patients studied. Drug reactions were the commonest cause in HIV positive patients. In the young black patient, erythroderma may be a marker for HIV infection.

Erythroderma - A Clinical Study of 43 Cases

“…29 cases of erythroderma were in the age group of 41-60 years while 10 cases were between 11-40 years, in above the age of 61 years-4 cases were noticed. It correlates the study of Akhyani M et al 2,5,3,4,6,7 The most common cause of these dermatitis in Spanish, Middle Eastern and Indian studies includes psoriasis and eczema . .…”

“…12,9,10 Drug reactions were the most common cause of erythroderma in HIV patients. 6 In the present study, the drug causing erythroderma was seen in five cases. Carbamazepine-induced reaction was seen in two cases.…”

Pathologically Confirmed Malignant Syphilis in an HIV-Infected Patient

“…To the best of our knowledge, there have been only 6 published cases in the English language literature of pathologically confirmed malignant syphilis in HIV-infected patients including ours (Table 1). We demonstrated the presence of spirochetes using immunohistochemical stain, while others used WarthinStarry stain (2,5,8) and Steiner stain (9,10).…”

“…Shulkin et al were able to identify only 14 cases of malignant syphilis in the English language literature since the early 1900's (2). However, more cases of the disease have been reported since the HIV epidemic, suggesting that HIV-infected patients may be at an increased risk (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). A multicenter retrospective study of 11,368 HIV-infected patients in Germany found that 151 (1.3%) patients were concurrently infected with syphilis, and 11 (7.3%) of those patients had lues maligna (16).…”

The impact of human immunodeficiency virus-related diseases on pigmented skin types

“…With advanced immunosuppression it becomes widespread and resistant to treatment and may predispose to erythroderma. 28,29 In African patients with short hair, thick and extensive yellowish scales of severe seborrhoeic dermatitis are more visible and can be very disfiguring.…”