Abstract

Pruritic papular eruption of HIV: a review article

Highlights

  • Itching is a common complaint among human immunodeficiency virus (HIV) patients and may cause significant morbidity and embarrassment

  • Pruritic papular eruption associated with Human Immunodeficiency Virus infection (PPE-HIV), was described by James et al in 1985 as a chronic pruritic papular dermatitis seen in patient suffering from Acquired Immunodeficiency Syndrome (AIDS) [3]

  • In 2012, Afonso et al [33] studied the association between pruritic papular eruption and eosinophilic folliculitis and HIV infection in Brazil, and postulated that eosinophilic folliculitis is characterized by a folliculocentric collection of eosinophils with some overlap of these features with papular eruptions (PPE) and suggested that the two condition could be part of the same disease spectrum

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Summary

INTRODUCTION

Itching is a common complaint among HIV patients and may cause significant morbidity and embarrassment. Pruritic papular eruption associated with Human Immunodeficiency Virus infection (PPE-HIV), was described by James et al in 1985 as a chronic pruritic papular dermatitis seen in patient suffering from Acquired Immunodeficiency Syndrome (AIDS) [3]. This skin condition remains the most common cutaneous manifestation in the HIV-infected patient and it is more prevalent in developing countries [4,5,6,7,8,9,10]. PPE-HIV is regarded as WHO clinical stage II for infants and children [12] in adults, PPE manifest in advanced immunosuppressive stage with low CD4 count in majority of cases, but they may appear as an initial cutaneous disease with high CD4 count [13]

Epidemiology of PPE
Pathogenesis of PPE
Clinical Features of PPE
Treatment of Pruritic Papular Eruption of HIV
Findings
CONCLUSION
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