Periorbital erythematous plaques and papules in an HIV-positive patient : A case report

Prior to the introduction of antiretroviral therapy, the concomitant occurrence of sarcoidosis and human immunodeficiency virus (HIV) was extremely rare. Today, an increased prevalence of sarcoidosis as a result of immune reconstitution syndrome (IRIS) is observed in HIV patients. A 37-year-old male patient that was co-infected with HIV and hepatitis C had a 6‑month history of gradually progressive asymptomatic periorbital erythematous plaques and papules. Routine clinical examinations were normal. Skin punch biopsy taken from the upper portion of the right cheek showed several non-caseating dermal granulomas with multinucleated giant cells, enabling unequivocal histological diagnosis. Based on the clinical picture and histological findings, the patient was diagnosed with cutaneous sarcoidosis. This case study underlines the change in possible rheumatological and dermatological comorbities in HIV-positive patients treated with highly active antiretroviral therapy. Therefore, physicians treating HIV infections should be familiar with the definition of IRIS.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:71

Enthalten in:

Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - 71(2020), 9 vom: 30. Sept., Seite 711-714

Sprache:

Deutsch

Weiterer Titel:

Periorbitale erythematöse Plaques und Papeln bei einem HIV-positiven Patienten : Ein Fallbericht

Beteiligte Personen:

Szczęch, Justyna [VerfasserIn]
Samotij, Dominik [VerfasserIn]
Sawińska, Edyta [VerfasserIn]
Reich, Adam [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Dermatological comorbidities
Glucocorticoids
Highly active antiretroviral therapy
Immune reconstitution syndrome
Journal Article
Rheumatological comorbidities
Sarcoidosis

Anmerkungen:

Date Completed 10.09.2020

Date Revised 10.09.2020

published: Print

Citation Status MEDLINE

doi:

10.1007/s00105-020-04600-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM30939757X