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Dermatologic manifestations in HIV-infected patients: a primary care perspective
1Section of General Internal Medicine Research Unit, Boston Medical Center, MA 02118, USA.
Objective:
To document the prevalence of dermatologic manifestations in patients infected with the human immunodeficiency virus (HIV) on presentation to primary medical care.
Design:
Prospective consecutive case series evaluated between June and November 1995.
Setting:
The HIV intake clinic at an urban hospital.
Subjects And Methods:
Ninety-five individuals initiating HIV-related primary care.
Results:
Dermatologic manifestations were found in 82 patients (86%). The most common conditions were dermatophytosis in 32 patients (34%), oral hairy leukoplakia in 22 (23%), and folliculitis in 18 (19%). Well-described HIV-associated dermatologic manifestations such as Kaposi sarcoma, herpes zoster, and psoriasis were uncommon.
Conclusions:
The high prevalence of treatable skin disorders found in HIV-infected patients underscores the importance of careful and complete skin examination as a fundamental aspect of the initial clinical evaluation in this population.