학술논문

Erythema elevatum diutinum as a first clinical manifestation for diagnosing HIV infection: case history
Document Type
article
Source
Sao Paulo Medical Journal. January 2005 123(4)
Subject
Skin diseases
HIV
Vasculitis
Streptococcal infections
Dapsone
Language
English
ISSN
1516-3180
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 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.