Erythema elevatum diutinum as a first clinical manifestation for diagnosing HIV infection: case history

Sao Paulo Medical Journal

Patrícia Accioni Rover²  Caroline Bittencourt²  Mariana Pimenta Discacciati¹  Mariana Colombini Zaniboni²  Lúcia Helena De Fávaro Arruda²  Maria Letícia Cintra¹ 

[1] ,Hospital Universitário Celso Pierro Dermatology Clinic Campinas São Paulo ,Brazil

关键词: Skin diseases;    HIV;    Vasculitis;    Streptococcal infections;    Dapsone;    Dermatopatias;    HIV;    Vasculite;    Infecções estreptocócicas;    Dapsona;   

DOI  :  10.1590/S1516-31802005000400009

来源: SciELO

【 摘 要 】

CONTEXT: Erythema elevatum diutinum is a chronic and rare dermatosis that is considered to be a variant of leukocytoclastic vasculitis. It is probably mediated by immune complexes. It is generally associated with autoimmune, neoplastic and infectious processes. Recently, it has been added to the group of specific dermatoses that are associated with HIV. CASE REPORT: We report on the case of a patient who had erythema elevatum diutinum as the first clinical evidence for diagnosing HIV infection. Dapsone was used in the treatment of this patient, and partial regression of the lesions was achieved within 15 days, even before antiretroviral therapy was prescribed. CONCLUSION: When there is a diagnosis of erythema elevatum diutinum, HIV infection should be investigated, especially in atypical and exacerbated clinical manifestations.

【 授权许可】

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