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抗逆转录病毒疗法在一名人类免疫缺陷病毒阳性患者中治疗鲍温病的奇迹:一例罕见病例报告。

Anti-retroviral therapy's miracle in the treatment of Bowen's disease in a human immunodeficiency virus-positive patient: A rare case report.

作者信息

Gopalan Kannan, Vellaisamy Seethalakshmi Ganga, Manickam Navakumar, Ahamed Razil

机构信息

Department of Skin and STD, V.M.K.V. Medical College and Hospitals, Salem, Tamil Nadu, India.

出版信息

Indian J Sex Transm Dis AIDS. 2016 Jul-Dec;37(2):201-204. doi: 10.4103/0253-7184.192123.

Abstract

Bowen's disease (BD) is a form of squamous cell carcinoma often associated with human papillomavirus. Co-infection with human immunodeficiency virus (HIV) is associated with a greater risk of malignancy. We describe a case of BD in a 52-year-old unmarried HIV-positive male who presented with extensive skin lesions of 1-year duration. Histopathology was suggestive of BD. He had been tried with topical imiquimod cream and cryo-therapy for 6 months. We observed no response for these above therapies. He was started on with anti-retroviral therapy (ART) as his CD4 count was 253 cells/mm. The entire cutaneous lesions completely disappeared within 6 months of ART, which was an interesting incidence.

摘要

鲍温病(BD)是一种常与人乳头瘤病毒相关的鳞状细胞癌。合并感染人类免疫缺陷病毒(HIV)会增加患恶性肿瘤的风险。我们报告一例52岁未婚HIV阳性男性的鲍温病病例,该患者出现持续1年的广泛皮肤损害。组织病理学提示为鲍温病。他接受了6个月的局部咪喹莫特乳膏和冷冻治疗。我们观察到上述治疗均无反应。由于他的CD4细胞计数为253个/立方毫米,遂开始接受抗逆转录病毒治疗(ART)。在ART治疗6个月内,所有皮肤损害完全消失,这是一个有趣的现象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf63/5111310/1f6534b8bc96/IJSTD-37-201-g001.jpg

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