A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center

Introduction: Cutaneous lesions are very common in pediatric HIV infection, and many of the dermatoses are linked to the underlying levels of CD4 counts. Aims: The primary aim was to study the clinico-epidemiological patterns of dermatoses in pediatric HIV infection, and the secondary aim was to asc...

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Main Authors: Sukumaran Pradeep Nair, Rony Mathew
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Paediatric Dermatology
Subjects:
Online Access:http://www.ijpd.in/article.asp?issn=2319-7250;year=2016;volume=17;issue=3;spage=186;epage=189;aulast=Nair
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author Sukumaran Pradeep Nair
Rony Mathew
author_facet Sukumaran Pradeep Nair
Rony Mathew
author_sort Sukumaran Pradeep Nair
collection DOAJ
description Introduction: Cutaneous lesions are very common in pediatric HIV infection, and many of the dermatoses are linked to the underlying levels of CD4 counts. Aims: The primary aim was to study the clinico-epidemiological patterns of dermatoses in pediatric HIV infection, and the secondary aim was to ascertain if any dermatoses is a marker of HIV infection. Materials and Methods: This is a retrospective descriptive, 1-year study. All data regarding the clinico-epidemiological features of pediatric HIV patients in the study period were analyzed. Results: There were 65 patients in this study, comprising 44 males (67.69%) and 21 females (32.31%). The age group 7–12 constituted the maximum number of cases, 35 (53.84%). Parental to child transmission was the most common mode of transmission seen in 54 patients, (83.07%). Cutaneous manifestations were seen in 43 patients (66.15%). Exaggerated insect bite reaction (IBR) was the most common cutaneous manifestation seen in this study accounting for 19 patients (29.23%), with a mean CD4 count in patients in the age group 1–5 being 425 cells/mm3 and 212 cells/mm3 in the age group 6–12. Conclusions: IBR in pediatric HIV infection indicates very low CD4 counts and in the absence of other caused for immunosuppression can be a marker of HIV infection.
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spelling doaj.art-f95bef3cb4874487899d42d26cfa123d2022-12-22T01:13:27ZengWolters Kluwer Medknow PublicationsIndian Journal of Paediatric Dermatology2319-72502016-01-0117318618910.4103/2319-7250.179487A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care centerSukumaran Pradeep NairRony MathewIntroduction: Cutaneous lesions are very common in pediatric HIV infection, and many of the dermatoses are linked to the underlying levels of CD4 counts. Aims: The primary aim was to study the clinico-epidemiological patterns of dermatoses in pediatric HIV infection, and the secondary aim was to ascertain if any dermatoses is a marker of HIV infection. Materials and Methods: This is a retrospective descriptive, 1-year study. All data regarding the clinico-epidemiological features of pediatric HIV patients in the study period were analyzed. Results: There were 65 patients in this study, comprising 44 males (67.69%) and 21 females (32.31%). The age group 7–12 constituted the maximum number of cases, 35 (53.84%). Parental to child transmission was the most common mode of transmission seen in 54 patients, (83.07%). Cutaneous manifestations were seen in 43 patients (66.15%). Exaggerated insect bite reaction (IBR) was the most common cutaneous manifestation seen in this study accounting for 19 patients (29.23%), with a mean CD4 count in patients in the age group 1–5 being 425 cells/mm3 and 212 cells/mm3 in the age group 6–12. Conclusions: IBR in pediatric HIV infection indicates very low CD4 counts and in the absence of other caused for immunosuppression can be a marker of HIV infection.http://www.ijpd.in/article.asp?issn=2319-7250;year=2016;volume=17;issue=3;spage=186;epage=189;aulast=NairCD4 countsinsect bite reactionpediatric HIV
spellingShingle Sukumaran Pradeep Nair
Rony Mathew
A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
Indian Journal of Paediatric Dermatology
CD4 counts
insect bite reaction
pediatric HIV
title A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
title_full A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
title_fullStr A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
title_full_unstemmed A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
title_short A clinico-epidemiological study of dermatoses in pediatric HIV patients in a tertiary care center
title_sort clinico epidemiological study of dermatoses in pediatric hiv patients in a tertiary care center
topic CD4 counts
insect bite reaction
pediatric HIV
url http://www.ijpd.in/article.asp?issn=2319-7250;year=2016;volume=17;issue=3;spage=186;epage=189;aulast=Nair
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