00:01
Welcome to our lecture on HIV and skin
conditions.
00:08
Skin disorders are common in HIV infected
patients and can be the initial sign of
HIV related immunosuppression.
00:17
Up to 90% of HIV infected individuals will
suffer from skin diseases
during the course of their illness.
00:25
Fungal and viral infections are the most
common skin disorders that we see
in HIV or AIDS patients.
00:36
So what causes the skin manifestations in
HIV?
This can be due to HIV infection itself,
or opportunistic
disorders secondary to the decline in
Immunocompetence,
and can be due to antiretroviral medications
as side effects of
drugs. The severity of the
diseases increased with the decline in CD4
count.
01:03
Depending on the level of CD4 count,
one sees various skin conditions,
and if you look at this slide,
you can see that with CD4 counts
between 200 and 400, you see those kind of
conditions.
01:17
And if it's less than 200 you will see CMV,
atypical mycobacteria
and deep fungal infections.
01:27
So what dermatological disorders are commonly
seen in HIV patients?
Firstly, infections, patients with HIV tend
to have an increased
susceptibility to bacterial,
viral, fungal and parasitic infections.
01:44
One may also see some of these inflammatory
conditions,
for example psoriasis,
seborrheic dermatitis,
eczema, and others. Drug reactions are also
very common in
patients with HIV because of the multiplicity
of drugs that they may be on.
02:00
Some conditions like Morbilliform eruptions,
Stevens-Johnson syndrome,
and toxic epidermal necrolysis,
and others like fixed drug eruption.
02:11
We do see neoplasms as well in patients with
HIV AIDS.
02:15
And the most typical and classical is
Kaposi's sarcoma.
02:18
And of course, sometimes squamous cell
carcinoma and other malignancies.
The lecture Cutaneous Manifestations of HIV in Patients with Darker Skin: Introduction by Ncoza Dlova is from the course Cutaneous Manifestations of HIV in Patients with Darker Skin.
Which of the following best describes the relationship between CD4 count and skin disorders in HIV patients?
What category of skin disorders is most commonly seen in HIV patients with CD4 counts between 200 and 400?
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