HIV seroprevalence and HIV associated dermatoses among patients presenting with skin and mucocutaneous disorders

Jindal, Neerja; Aggarwal, Aruna; Kaur, Satwinder

doi:10.4103/0378-6323.51248

Cited by 20 publications

(27 citation statements)

References 7 publications

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“…10,11 Our observation of oral candidiasis as the most common mucocutaneous infection in the present study was in concordance with existing literature. 11,12 Almost 62% of the patients with oral candidiasis in this study had a CD4 count less than 350.The higher prevalence of oral candidiasis noted by us could be due to low CD4 count observed in more than 50% of study group (<350cells/mm 3 ).…”

Section: Discussionsupporting

confidence: 82%

“…10,11 Onychomycosis was found in 16.5% of the patients, which is in concordance with other studies. [14] Majority of the patients with onychomycosis were manual labourers.…”

Section: Discussionsupporting

confidence: 81%

“…Drivers and those working abroad constituting significant percentage of study group was consistent with previous studies since these two groups are more prone for sexual promiscuity considering their respective occupations demanding them to stay away from their families. 9 Among the females, 76% were housewives .This is consistent with study done by Jindal N. 10 Most of the women in this study were married monogamous women and had acquired the infection from their spouses. The significant percentage of housewives among HIV affected indicates the need to extent the AIDS awareness programmes to low risk groups also.…”

Section: Discussionsupporting

confidence: 80%

“…16 The most commonly observed viral infection among the HIV patients was herpes zoster which is in accordance with certain previous studies. 10 The uneventful disease course of herpes zoster in the current study was contrary to the observations that the disease tends to be more aggressive in HIV infected. 17 The prevalence of 3.9% for scabies in the HIV seropositive group noted by us was consistent with the findings of others.…”

Section: Discussioncontrasting

confidence: 55%

“…6,10 When both primary and secondary pyodermas in this study are clubbed together, the prevalence of pyodermas is high as 20%. The increased incidence of pyodermas obtained in this study could be due to the fact that majority of the patients in the study were manual labourers, working in unclean, hot and humid environment.…”

Section: Discussionmentioning

confidence: 95%

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Mucocutaneous infections in HIV positive patients attending a tertiary care institution: a descriptive study

2017

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Background: AIDS is characterized by the waning of body’s immunity leaving the victim to the multitude of life threatening opportunistic infections, neurological disorders or malignancies. Dermatologic manifestations occur in more than 90% of patients with HIV infection most often due to infections. The awareness of the varied patterns of these skin lesions would help in early diagnosis and management of these in HIV infection, which in turn reduce the morbidity and improve quality of life.Methods: Observational study from 1st April 2012 to 31st March 2013 in a tertiary care institution of North Kerala. HIV positive patients attending sexually transmitted infection clinic of Dermato venereology department, anti-retroviral treatment clinic (ART clinic) and infectious diseases ward of Department of Medicine of a tertiary care centre were examined after consent for mucocutaneous infections. Results: The study population comprised of 206 HIV infected patients with mucocutaneous infections. The male to female ratio was 2.07:1. Most of the affected belong to 30-50 years age group. Majority were manual laborers(49.3%) and in stage3 HIV disease. 107 patients had CD4 Count below 350 at the time of study(51.9%) whereas 40 cases (19.4%) had CD4Count above 500. Most common mucocutaneous infection was oral candidiasis (51%), followed by onychomycosis (16.5%). Out of 29 patients with dermatophytosis majority had tinea cruris (18 patients). Bacterial was second commonest infection. Only 3 patients had tuberculoid leprosy, one with type 1 reaction. Common viral infection was herpes zoster followed by herpes genitalis and conyloma accuminata. 11 patients had verruca vulgaris, one with extensive lesions. Out of 206 patients 28 had sexually transmitted infections (STIs) other than HIV, herpes genitalis being the commonest. Syphilis observed in 4 patients (1.9%). 162 patients (78.6%) were on HAART. The response to treatment was better in patients with CD4 Count above 500cells/mm3. Conclusions:Oral candidiasis, onychomycosis, pyoderma and ulcerative STIs were noted in significant number of HIV infected individuals. These were more common in those with CD4Count below 300 cells/ mm3. .Those patients with CD4 Count above 500 cells/ mm3 responded well to treatment.

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Section: Discussionsupporting

confidence: 82%

“…10,11 Onychomycosis was found in 16.5% of the patients, which is in concordance with other studies. [14] Majority of the patients with onychomycosis were manual labourers.…”

Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 80%

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 95%

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Mucocutaneous infections in HIV positive patients attending a tertiary care institution: a descriptive study

2017

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Dermatological Manifestations in Lower Limb Swelling

Rai

2022

Approach to Lower Limb Oedema

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A comparative study of the various patterns of oro-cutaneous fungi and their sensitivity to anti fungals between HIV patients and normal healthy individuals

Pragasam

Verma

Hazra

et al. 2019

Medical Journal Armed Forces India

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Background: Dermatological diseases are the first recognized clinical manifestation Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS). 1,2 The present study was undertaken to find out the clinical spectrum of the superficial mycoses, the etiological organisms and their drug sensitivity patterns among HIV positive patients and non HIV individuals attending the tertiary care hospital. Methods:The study population was 100 HIV patients and control patients were consecutive 100 HIV negative patients. Skin scrapings and swabs were obtained from the upper back, web spaces of toes, inguinal region, dorsum of tongue. All the samples were subjected to potassium hydroxide mount and stained with Calcoflour White and were cultured. The fungi were identified on the basis of colony and microscopic features in conjunction with results of physiologic evaluation by standard phenotypic identification criteria.Results: The total number of seropositive patients who had atleast one fungal infection was 57 and the total number of seronegative patients who had atleast one fungal infection was 21. In our study, fungal colonization was seen in 3.6% in clinically normal sites in retropositive patients and 1.6% in retronegatives. 76.59% in retropositive and 85.71% in retronegative patients the fungi cultured were sensitive to fluconazole.

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HIV seroprevalence and HIV associated dermatoses among patients presenting with skin and mucocutaneous disorders

Abstract: High prevalence and wide variety of skin and mucocutaneous disorders in HIV-positive patients highlight the importance of better vigilance and early suspicion of HIV infection in such patients.

Cited by 20 publications

References 7 publications

Mucocutaneous infections in HIV positive patients attending a tertiary care institution: a descriptive study

Mucocutaneous infections in HIV positive patients attending a tertiary care institution: a descriptive study

Dermatological Manifestations in Lower Limb Swelling

A comparative study of the various patterns of oro-cutaneous fungi and their sensitivity to anti fungals between HIV patients and normal healthy individuals

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