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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.
Abstract:
The most recent Joint United Nations Programme on HIV/AIDS (UNAIDS) data inform us that approximately 2.3 million children were infected with HIV at the end of 2009. The greatest burden of this infection is thrust squarely on the most impoverished healthcare systems in the world. Sub-Saharan Africa is home to at least 68% of the global total of HIV infection of 22.5 million. Although a scale up of antiretrovirals has been one of the UNAIDS priorities, and access to services to prevent mother-to-child transmission has increased, an estimated 370,000 children were newly infected in 2009. Hence, infected mothers continue giving birth to HIV-infected children who require appropriate healthcare to diagnose and treat their underlying immunodeficiency and related disorders. Skin lesions are common in these children as they present with infections common in the general population, albeit more severe. Those lesions that are markers of HIV or AIDS are important signs heralding an improving or declining immune system and the success of antiretrovirals. Cutaneous manifestations of HIV/AIDS can be classified broadly as infections and infestations, inflammatory conditions, tumors, and antiretroviral related. This manuscript discusses the more common skin conditions seen in children infected with HIV so as to improve the diagnosis and therapy administered by healthcare professionals especially in sub-Saharan Africa.
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