Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis

Introduction: The most common form of systemic amyloidosis is amyloid A induced by a chronic inflammation. In HIV-infected patients, elevated serum amyloid A levels might be associated with chronic inflammation. Patient presentation: A 43-year-old male patient was admitted to hospital with a compla...

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Main Authors: Hayati Demiraslan, Kemal Deniz, Mehmet Doganay
Format: Article
Language:English
Published: AOSIS 2017-08-01
Series:Southern African Journal of HIV Medicine
Subjects:
Online Access:https://sajhivmed.org.za/index.php/hivmed/article/view/735
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author Hayati Demiraslan
Kemal Deniz
Mehmet Doganay
author_facet Hayati Demiraslan
Kemal Deniz
Mehmet Doganay
author_sort Hayati Demiraslan
collection DOAJ
description Introduction: The most common form of systemic amyloidosis is amyloid A induced by a chronic inflammation. In HIV-infected patients, elevated serum amyloid A levels might be associated with chronic inflammation. Patient presentation: A 43-year-old male patient was admitted to hospital with a complaint of papular lesions around his eyes, existing for four months. The patient is receiving antiretroviral therapy. HIV RNA was undetectable, and the CD4 count was 770 cells/mm3. He suffered from a bladder carcinoma for four years. On examination, periocular, perioral and anogenital papules, papular lesions in the meatus of external auditory canal, and intranasal polyps were observed. Management: Microscopic examination of the biopsy material taken from the periocular lesion and then from perianal polyps revealed eosinophilic deposition, and stained positively by Congo red. Serum amyloid A level was negative. Antiretroviral therapy was continued. Conclusion: A rare form of amyloidosis in a patient with HIV and/or AIDS and coinfected with hepatitis B virus (HBV) was presented here with cutaneous and mucosal lesions.
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spelling doaj.art-afeb7436f8914957b7d969e1ad3ee4e02022-12-22T01:49:03ZengAOSISSouthern African Journal of HIV Medicine1608-96932078-67512017-08-01181e1e310.4102/sajhivmed.v18i1.735560Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: AmyloidosisHayati Demiraslan0Kemal Deniz1Mehmet Doganay2Department of Infectious Diseases and Clinical Microbiology, Erciyes UniversityDepartment of Pathology, Erciyes UniversityDepartment of Infectious Diseases and Clinical Microbiology, Erciyes UniversityIntroduction: The most common form of systemic amyloidosis is amyloid A induced by a chronic inflammation. In HIV-infected patients, elevated serum amyloid A levels might be associated with chronic inflammation. Patient presentation: A 43-year-old male patient was admitted to hospital with a complaint of papular lesions around his eyes, existing for four months. The patient is receiving antiretroviral therapy. HIV RNA was undetectable, and the CD4 count was 770 cells/mm3. He suffered from a bladder carcinoma for four years. On examination, periocular, perioral and anogenital papules, papular lesions in the meatus of external auditory canal, and intranasal polyps were observed. Management: Microscopic examination of the biopsy material taken from the periocular lesion and then from perianal polyps revealed eosinophilic deposition, and stained positively by Congo red. Serum amyloid A level was negative. Antiretroviral therapy was continued. Conclusion: A rare form of amyloidosis in a patient with HIV and/or AIDS and coinfected with hepatitis B virus (HBV) was presented here with cutaneous and mucosal lesions.https://sajhivmed.org.za/index.php/hivmed/article/view/735Periocular papulesHIV/AIDSamyloidosisproteinuria
spellingShingle Hayati Demiraslan
Kemal Deniz
Mehmet Doganay
Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
Southern African Journal of HIV Medicine
Periocular papules
HIV/AIDS
amyloidosis
proteinuria
title Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
title_full Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
title_fullStr Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
title_full_unstemmed Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
title_short Multiple papular lesions in a patient with HIV and/or AIDS and coinfected with hepatitis B virus: Amyloidosis
title_sort multiple papular lesions in a patient with hiv and or aids and coinfected with hepatitis b virus amyloidosis
topic Periocular papules
HIV/AIDS
amyloidosis
proteinuria
url https://sajhivmed.org.za/index.php/hivmed/article/view/735
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AT mehmetdoganay multiplepapularlesionsinapatientwithhivandoraidsandcoinfectedwithhepatitisbvirusamyloidosis