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Published on: January 5, 2016
[Dermatological disease among HIV-infected patients with CD4-lymphocyte count]
Lessandra Michelim1, José Luiz Atti, Daniel Panarotto
1Serviço de Controle de Infecção Hospitalar, Hospital Geral de Caxias do Sul, RS, Brazil.
Insights
Dermatological diseases are common in HIV-infected patients. Lower CD4-lymphocyte counts correlate with a higher prevalence and number of skin conditions, indicating disease progression.
Area of Science:
- Immunology
- Dermatology
- Infectious Diseases
Context:
- Human Immunodeficiency Virus (HIV) infection significantly impacts immune function.
- Dermatological manifestations are common in HIV-infected individuals.
- CD4-lymphocyte count is a key indicator of immune status in HIV patients.
Purpose:
- To investigate the correlation between the prevalence of dermatological diseases and CD4-lymphocyte counts in HIV-infected patients.
- To analyze the relationship between immune status and skin conditions in this population.
Summary:
- A case series study analyzed 238 HIV-infected patients (198 hospitalized, 40 outpatients) in Brazil.
- High prevalence of dermatological diseases (67.2% hospitalized, 75.0% outpatients) was observed, with oral candidiasis being most frequent.
- Lower CD4 counts were significantly associated with the presence and number of dermatological diseases in both patient groups (p<0.05).
Impact:
- Findings highlight the strong link between immune suppression and skin disease in HIV.
- This correlation can aid in monitoring disease progression and immune status.
- Understanding this relationship is crucial for managing HIV-infected patients effectively.
Objective:
To correlate the prevalence of dermatological diseases among HIV-infected patient with CD4-lymphocyte count.
Methods:
A case series study was carried out in the region of Caxias do Sul, state of Rio Grande do Sul State, Brazil. Data was collected by reviewing the records of HIV-infected patients admitted to a public hospital (198 patients from March 1998 to June 2002) or seen at the university outpatient clinic (40 patients from March to June 2002). The variables analyzed were: age, sex, CD4-lymphocyte count, viral load, and dermatological diseases. Statistical analyses were performed using Student's t-test, Spearman's and Chi-Square tests.
Results:
The frequency of dermatological disease was 67.2% among hospitalized patients and 75.0% among outpatients. Oral candidiasis was the most prevalent dermatological disease. Among the hospital population, the average CD4 count was lower among patients with dermatological disease than among those with no disease (142.34 cells/mm3 vs 512.35 cells/mm3, respectively; p=0.018). The same phenomenon was observed in outpatient population (138.88 cells/mm3 and 336.21 cells/mm3, respectively; p=0.001). In both populations, a negative correlation was found between CD4 count and the total number of dermatological diseases by a patient (p=0.000, hospital population, p=0.000, outpatient population).
Conclusions:
Dermatological diseases are highly prevalent among HIV-infected patients and the frequency and number of these manifestations are well correlated to the patient's immune status and disease progression.
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