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Common skin conditions in children with HIV/AIDS

Avumile Mankahla1, Anisa Mosam

  • 1Department of Dermatology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

Insights

Pediatric HIV infection remains a significant global health challenge, particularly in Sub-Saharan Africa. This review details common skin conditions in children with HIV to aid diagnosis and treatment.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Dermatology

Background:

  • Millions of children globally are infected with Human Immunodeficiency Virus (HIV), with the highest burden in Sub-Saharan Africa.
  • Despite increased access to antiretrovirals and prevention of mother-to-child transmission, new pediatric HIV infections persist.
  • HIV-infected children require specialized healthcare for immunodeficiency and associated conditions, including common but severe skin manifestations.

Purpose of the Study:

  • To review common cutaneous manifestations in children with HIV.
  • To enhance the diagnosis and management of HIV-related skin conditions in pediatric populations.
  • To provide guidance for healthcare professionals, especially in resource-limited settings like Sub-Saharan Africa.

Main Methods:

  • Review of current literature on pediatric HIV/AIDS and associated dermatological conditions.
  • Classification of cutaneous manifestations into infections/infestations, inflammatory conditions, tumors, and antiretroviral-related disorders.
  • Focus on conditions prevalent in children and their significance as indicators of immune status.

Main Results:

  • Skin lesions are frequent in children with HIV, often more severe than in the general population.
  • Cutaneous manifestations serve as crucial indicators of immune system status and response to antiretroviral therapy.
  • Common dermatological issues include various infections, inflammatory dermatoses, and neoplasms.

Conclusions:

  • Recognizing and managing skin conditions in children with HIV is vital for effective healthcare.
  • Dermatological signs can provide valuable insights into disease progression and treatment efficacy.
  • Improved diagnostic and therapeutic approaches for pediatric HIV-related skin conditions are essential, particularly in high-burden regions.

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