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Published on: October 12, 2018
Multiple eruptive dermatofibromas in three men with HIV infection
C T Ammirati1, C Mann, I K Hornstra
1Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
Background:
Multiple eruptive dermatofibromas (MEDF) are rare and their etiology is unknown. An association with immunosuppression has led to the speculation that they are the result of an abortive immunoreactive process. In the literature, there have been 5 isolated case reports of multiple dermatofibromas and human immunodeficiency virus (HIV) infection. Three of these cases had other immune modulators present (i.e. prednisone, systemic lupus erythematosus, alpha-interferon, UVB phototherapy). The other 2 cases had disseminated mycobacteriosis.
Observations:
A series of 3 men with HIV infection and MEDF is described. In contrast to previous case reports, our patients did not have other immune modulators besides HIV infection nor did they have disseminated mycobacteriosis.
Conclusions:
This series lends support to the speculation that MEDF may be associated with immunosuppression. Further study is needed to delineate the exact mechanism for this relationship. These patients presented within a 4-month period and illustrate the frequency at which MEDF may be seen in the HIV-positive population. As clinicians who care for patients with HIV infection, it is important to be aware that MEDF may be seen in this immunosuppressed population.
Insights
Multiple eruptive dermatofibromas (MEDF) may be linked to immunosuppression in patients with human immunodeficiency virus (HIV). This study highlights the potential association, suggesting increased awareness for HIV-positive individuals.
Area of Science:
- Dermatology
- Immunology
- Infectious Diseases
Background:
- Multiple eruptive dermatofibromas (MEDF) are rare skin neoplasms with unknown etiology.
- Previous reports suggest a link between MEDF and immunosuppression, with limited cases associated with human immunodeficiency virus (HIV).
- Prior cases often involved additional immune modulators or opportunistic infections.
Observation:
- This study describes three male patients with HIV infection and MEDF.
- Unlike previous reports, these patients had no other immune modulators or disseminated mycobacteriosis.
- The cases presented within a four-month period.
Findings:
- The series supports the hypothesis that MEDF is associated with immunosuppression.
- The findings suggest a potential correlation between HIV infection and the development of MEDF.
- MEDF may be more frequent in the HIV-positive population than previously recognized.
Implications:
- Clinicians caring for HIV-positive patients should be aware of the potential for MEDF in this immunosuppressed group.
- Further research is necessary to elucidate the precise mechanisms underlying the association between MEDF and immunosuppression.
- Increased clinical awareness can aid in the timely diagnosis and management of MEDF in immunocompromised individuals.
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