Pruritic papular eruption of HIV: Difference between revisions
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==Background== | ==Background== | ||
*Most common rash of HIV | *Most common rash of HIV<ref>Cutaneous manifestations of HIV in the era of highly active antiretroviral therapy: an institutional urban clinic experience. Zancanaro PC et al. J Am Acad Dermatol. 2006 Apr;54(4):581-8.</ref> | ||
*Presenting symptom of HIV in up to ~80% cases | *Presenting symptom of HIV in up to ~80% cases | ||
*3x more common when CD4 count < 200 | *3x more common when CD4 count < 200 | ||
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*Average time for recurrence of skin condition ~8 wks | *Average time for recurrence of skin condition ~8 wks | ||
== | ==References== | ||
<references/> | |||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 23:59, 2 May 2016
Background
- Most common rash of HIV[1]
- Presenting symptom of HIV in up to ~80% cases
- 3x more common when CD4 count < 200
- Up to 46% of HIV pts have this rash at some time of disease course
- Diagnosis of exclusion
Clinical Features
- Pruritic
- Diffusely, symmetrically distributed rash
- Discrete red bumps initially
- Extremities/trunk > face
- Mucous membrane sparing
Differential
- Folliculitis
- Cellulitis
- Fungal infection
- HSV infection
- HPV warts
- Drug reaction
- Insect bites
- Porphyria
Treatments
- Initially topical steroids, emollients, PO antihistamines
- UV phototherapy for refractory cases
Disposition
- Outpatient dermatology f/u
- Average time for recurrence of skin condition ~8 wks
References
- ↑ Cutaneous manifestations of HIV in the era of highly active antiretroviral therapy: an institutional urban clinic experience. Zancanaro PC et al. J Am Acad Dermatol. 2006 Apr;54(4):581-8.