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Cutaneous Manifestations of HIV
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Herpes Simplex Virus (HSV) Infections
Appearance: Painful sores, ulcers on the genitals or mouth. Prevalence: Prevalent in HIV due to immune suppression. Management: Antiviral therapy, pain relief.
Kaposi Sarcoma
Appearance: Purplish, reddish-blue, or dark brown/black skin lesions. Prevalence: Most common in advanced HIV/AIDS. Management: Highly Active Antiretroviral Therapy (HAART), chemotherapy, radiation.
Molluscum Contagiosum
Appearance: Flesh-colored or pearly nodules with a central dimple. Prevalence: More common and widespread in those with HIV. Management: Cryotherapy, curettage, topical therapy.
Seborrheic Dermatitis
Appearance: Scaly, flaky, itchy, and red skin on scalp and face. Prevalence: More frequent and severe in HIV-positive individuals. Management: Antifungal creams, medicated shampoos.
Drug Rash with Eosinophilia and Systemic Symptoms (DRESS)
Appearance: Extensive rash, fever, swollen lymph nodes, eosinophilia. Prevalence: Occurs as a reaction to medications, more likely in HIV/AIDS. Management: Discontinue offending drug, supportive care, corticosteroids.
Oral Hairy Leukoplakia
Appearance: White, hairy-looking patches on the lateral sides of the tongue. Prevalence: Common in immunocompromised patients. Management: Antiretroviral therapy, antiviral medications.
Psoriasis
Appearance: Red, itchy, scaly patches on skin, particularly on elbows, knees, and scalp. Prevalence: Can be more severe in HIV-positive patients. Management: Topical treatments, phototherapy, systemic medications.
Xerosis (Dry Skin)
Appearance: Dry, rough, scaling skin. Prevalence: Widespread among patients with HIV/AIDS, especially as CD4 counts decline. Management: Emollients, keratolytics, and keeping skin moisturized.
Photodermatitis
Appearance: Skin eruption on sun-exposed areas of the body. Prevalence: Can be exacerbated in HIV-positive patients. Management: Sun protection, topical steroids, antimalarial drugs.
Candidiasis (Thrush)
Appearance: Creamy white lesions on tongue or inner cheeks, sometimes on the roof of the mouth, gums, tonsils, or back of the throat. Prevalence: Very common in HIV/AIDS, especially with low CD4 counts. Management: Antifungal medications, good oral hygiene.
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