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[Diffuse pigmentation (nail, mouth and skin) associated with HIV infection]
F Granel1, F Truchetet, M Grandidier
1Service de Dermatologie, CHR Metz Thionville, Hôpital Beauregard, Thionville.
Introduction:
Nail dyschromia in patients infected with human immunodeficiency virus (HIV) was first described in 1987 by Furth and Kazakis. It has since been reported in patients with the acquired immunodeficiency syndrome (AIDS), predominantly in patients treated with zidovudine.
Case Report:
We describe the case of a 37 years old white woman, who developed AIDS in 1994, with nail longitudinal colored bands, oral and cutaneous pigmentation without taking zidovudine.
Discussion:
There have been four reports of nail pigmentation in HIV-infected patients who had no received this antiviral agent. The singularity of our case is the onset in a white woman. A lot of causes must be evoked and biology must be done, with histopathologic study when it is possible.