Title: Study of Mucocutaneous Involvement in HIV in a Tertiary Care Centre

Authors: Julie Leishangthem, Ranjeeta Sapam, Oinam Gyanpati Devi

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.160

Abstract

Background: Cutaneous manifestations are common among HIV infected persons. Certain characteristic skin changes can help clinicians to recognize previously undiagnosed HIV infection.

Aims and Objectives: To determine the clinical pattern and prevalence of various mucocutaneous manifestations in HIV infected patients.

Materials and Methods: A retrospective one year study was done which included all HIV infected patients attending Dermatology OPD, J.N.I.M.S., Imphal from January 2015 to December 2015. Cutaneous findings among the patients were recorded and evaluated.

Results: The total number of patients infected with HIV attending the dermatology OPD during the study period was 146, out of which 88 (60.3%) were males and 58 (39.7%) were females. A total of 92 patients (63%) were found to have mucocutaneous manifestations out of which 48 (52.2%) were males and 44 (41.8%) were females. The age group most commonly involved was 31-45 years (41.8%). Pruritic papular eruption (21.7%) was the most common skin involvement. The most common infections seen were candidiasis (17.4%), dermatophytosis (7.6%), herpes zoster (5.4%), human papilloma virus infection (3.3%),herpes simplex virus infection (3.3%), folliculitis (3.3%) and chancroid (3.3%). Seborrheic dermatitis (6.5%), maculopapular drug rash (4.3%), generalized pruritus (3.3%)were common non-infectious conditions seen. Penicilliosis (5.4%) was also seen.

Conclusion: Mucocutaneous involvement occurs in every stage of HIV and awareness of the varied pattern of these manifestations would help in the early diagnosis and management of HIV infection, thereby decreasing the morbidity and improve the quality of life in them.

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