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Cutaneous Manifestations of HIV

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Herpes Simplex Virus (HSV) Infections

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Appearance: Painful sores, ulcers on the genitals or mouth. Prevalence: Prevalent in HIV due to immune suppression. Management: Antiviral therapy, pain relief.

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Kaposi Sarcoma

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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.

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Molluscum Contagiosum

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Appearance: Flesh-colored or pearly nodules with a central dimple. Prevalence: More common and widespread in those with HIV. Management: Cryotherapy, curettage, topical therapy.

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Seborrheic Dermatitis

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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.

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Drug Rash with Eosinophilia and Systemic Symptoms (DRESS)

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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.

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Oral Hairy Leukoplakia

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Appearance: White, hairy-looking patches on the lateral sides of the tongue. Prevalence: Common in immunocompromised patients. Management: Antiretroviral therapy, antiviral medications.

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Psoriasis

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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.

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Xerosis (Dry Skin)

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Appearance: Dry, rough, scaling skin. Prevalence: Widespread among patients with HIV/AIDS, especially as CD4 counts decline. Management: Emollients, keratolytics, and keeping skin moisturized.

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Photodermatitis

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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.

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Candidiasis (Thrush)

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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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