Rover PA, Bittencourt C, Discacciati MP, Zaniboni MC, Arruda LHDF, Cintra ML. Erythema elevatum diutinum as a first clinical manifestation for diagnosing HIV infection: case history.
SAO PAULO MED J 2005;
123:201-3. [PMID:
16389420 PMCID:
PMC11060408 DOI:
10.1590/s1516-31802005000400009]
[Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
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 anti-retroviral 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.
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