Fernandes S, Pinto G M, Cardoso J
Department of Dermatology and Venereology, Hospital Curry Cabral, Lisbon, Portugal.
Int J STD AIDS. 2011 Nov;22(11):653-4. doi: 10.1258/ijsa.2011.010525.
Patients with HIV infection have a higher propensity for infectious, inflammatory, neoplastic and metabolic disorders. The link with psoriasis vulgaris is explained by well-known pathophysiological phenomena and can be observed at any stage of infection. The aim of our study was to characterize the clinical spectrum of psoriasis in a group of 50 patients with HIV. Our findings showed particular clinical presentations of psoriasis in those patients, suggesting a predilection for scalp lesions, palmoplantar keratoderma and flexural involvement, as well as a trend towards severe immunodeficiency. Psoriasis, a frequent reason for consultation, allows earlier suspicion and diagnosis of HIV in the presence of these particular patterns.
感染HIV的患者更容易出现感染性、炎症性、肿瘤性和代谢性疾病。与寻常型银屑病的关联可通过众所周知的病理生理现象来解释，且在感染的任何阶段都可观察到。我们研究的目的是对一组50例HIV患者的银屑病临床谱进行特征描述。我们的研究结果显示了这些患者银屑病的特殊临床表现，提示其易出现头皮损害、掌跖角化病和屈侧受累，以及存在严重免疫缺陷的趋势。银屑病是患者前来咨询的常见原因，在出现这些特殊模式时可更早怀疑和诊断HIV。
