Mucocutaneous signs of HIV disease: A guide to early detection part 1: Infections and infestations

Shannon N. Matthews, Clay J. Cockerell, Alvin E. Friedman-Kien

Research output: Contribution to journalArticle

Abstract

The first clinical signs of HIV infection often appear as skin ailments; many of these have unusual features, and some may be life-threatening. Up to half of HIV-infected patients suffer from herpesvirus infection. Herpetic lesions may affect other organs besides the skin, inducting the eye, esophagus, and lung. HIV-seropositive patients exposed to varicella-zoster virus (VZV) must be treated with hyperimmune globulin, VZV vaccine, or high- dose acyclovir. Bacterial skin diseases, such as folliculitis, impetigo, and cellulitis, are common; bacilliary angiomatosis is seen almost exclusively in HIV-infected patients and can mimic Kaposi's sarcoma. Scabies and other ectoparasitic infestations are also frequent; suspect mites if severe, intractable pruritus and a scaly chronic dermatosis are present. Cutaneous fungal infections, such as dermatophytosis, may assume a number of guises; proximal white subungual onychomycosis is seen almost exclusively in immunocompromised patients.

Original languageEnglish (US)
Pages (from-to)2551-2572
Number of pages22
JournalConsultant
Volume37
Issue number10
StatePublished - Oct 1997

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Human Herpesvirus 3
HIV
Ectoparasitic Infestations
Bacterial Skin Diseases
Skin
Herpes Zoster Vaccine
Infection
Angiomatosis
Impetigo
Folliculitis
Onychomycosis
Scabies
Herpesviridae Infections
Tinea
Cellulitis
Acyclovir
Mycoses
Kaposi's Sarcoma
Mites
Globulins

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Matthews, S. N., Cockerell, C. J., & Friedman-Kien, A. E. (1997). Mucocutaneous signs of HIV disease: A guide to early detection part 1: Infections and infestations. Consultant, 37(10), 2551-2572.

Mucocutaneous signs of HIV disease : A guide to early detection part 1: Infections and infestations. / Matthews, Shannon N.; Cockerell, Clay J.; Friedman-Kien, Alvin E.

In: Consultant, Vol. 37, No. 10, 10.1997, p. 2551-2572.

Research output: Contribution to journalArticle

Matthews, SN, Cockerell, CJ & Friedman-Kien, AE 1997, 'Mucocutaneous signs of HIV disease: A guide to early detection part 1: Infections and infestations', Consultant, vol. 37, no. 10, pp. 2551-2572.
Matthews SN, Cockerell CJ, Friedman-Kien AE. Mucocutaneous signs of HIV disease: A guide to early detection part 1: Infections and infestations. Consultant. 1997 Oct;37(10):2551-2572.
Matthews, Shannon N. ; Cockerell, Clay J. ; Friedman-Kien, Alvin E. / Mucocutaneous signs of HIV disease : A guide to early detection part 1: Infections and infestations. In: Consultant. 1997 ; Vol. 37, No. 10. pp. 2551-2572.
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