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Human immunodeficiency virus infection presenting with chronic actinic dermatitis: a case report
Introduction:
We describe a case illustrating a rare but increasingly recognised association of chronic actinic dermatitis (CAD) with human immunodeficiency virus (HIV) infection.
Clinical Picture:
A 40-year-old Chinese man of skin type III presented with a photodistributed rash of 3 years' duration. Histology, phototesting and subsequent clinical course were consistent with CAD. HIV serology was positive. CD4 count was 26 cells/microL, with absence of acquired immunodeficiency syndrome (AIDS)-defining illnesses.
Treatment:
Topical steroids, sun-protection and trimethoprim-sulphamethoxazole prophylaxis were prescribed.
Outcome:
Improvement was documented over the arms, but the facial plaques persisted.
Conclusion:
CAD may be a presenting feature of advanced HIV infection.