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[Psoriasis and HIV infection, what do French dermatologists do?]
M Guignant1, E Mahé2, A-B Duval-Modeste1
1Service de dermatologie, centre hospitalier universitaire Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Annales De Dermatologie Et De Venereologie
|March 6, 2019
Summary
French dermatologists do not routinely screen psoriasis patients for human immunodeficiency virus (HIV). However, when HIV is identified, treatment and follow-up practices are adjusted, aligning with current recommendations.
Area of Science:
- Dermatology
- Infectious Diseases
- Public Health
Background:
- Psoriasis is more severe and complex to manage in patients with human immunodeficiency virus (HIV) infection.
- Understanding dermatologists' practices is crucial for improving care for this population.
Purpose of the Study:
- To assess French dermatologists' practices regarding HIV screening in psoriasis patients.
- To evaluate the management and follow-up of psoriasis patients with HIV.
Main Methods:
- An anonymous national survey was conducted via email questionnaire.
- 262 dermatologists in hospital and private practice in France participated between March and June 2017.
Main Results:
- Routine HIV screening is not standard practice; screening occurs in specific situations like risk factors or before certain treatments.
- 28.7% of dermatologists treat patients with both psoriasis and HIV, managing an average of 3.1 patients.
- Systemic treatments are prescribed, often with infectious disease specialist consultation, and etanercept is the most common biologic. Intensive laboratory follow-up is common (72.1%).
Conclusions:
- French dermatologists do not routinely screen psoriasis patients for HIV.
- Management practices are adapted when HIV is identified, adhering to French therapeutic recommendations.
- There is a need for recommendations on HIV screening in psoriasis patients.
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