Intractable Pruritus: A Presenting Sign of HIV Infection / 대한피부과학회지
Korean Journal of Dermatology
;
: 45-48, 2017.
Article
in Korean
| WPRIM
| ID: wpr-27295
ABSTRACT
To achieve early detection of HIV infection, physicians must be aware of symptoms related to HIV infection. Dermatologists, in particular, can play an important role, because more than 90% of patients infected with HIV will develop at least one type of dermatologic disorder, which may be the first indicator of the existence of infection. A 26-year-old male presented with a one-year history of intractable pruritus associated with multiple excoriations and small ulcers. Initially, his condition clinically resembled adult atopic dermatitis. However, no improvement was observed despite treatment including narrowband ultraviolet B (UVB), antihistamine, and topical and systemic corticosteroid. After a week, the patient developed seizures and was diagnosed with diffuse large B-cell lymphoma of the brain. HIV testing was performed, and the patient was revealed to be HIV-positive. He began highly active antiretroviral therapy (HAART), and the pruritus and skin condition improved dramatically. Herein, we report a case of HIV infection for which the presenting sign was intractable pruritus.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pruritus
/
Seizures
/
Skin
/
Ulcer
/
Brain
/
HIV Infections
/
Lymphoma, B-Cell
/
HIV
/
Antiretroviral Therapy, Highly Active
/
Dermatitis, Atopic
Type of study:
Screening study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Dermatology
Year:
2017
Type:
Article
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