Arellano Javier, Yagnam Mathias, Vidal Martín, Corredoira Yamile
Facultad de Medicina, Servicio de Dermatología, Hospital Clínico San Borja-Arriarán, Universidad de Chile, Santiago, Chile.
Universidad Finis Terrae, Santiago, Chile.
Rev Chilena Infectol. 2017 Dec;34(6):603-606. doi: 10.4067/S0716-10182017000600603.
HIV infection can be manifested with different skin symptoms, which are sometimes considered infection markers. Erythrodermic psoriasis is a possible manifestation, which is a widespread form of psoriasis. We report a clinical case of a young man suspected of HIV infection due to a psoriatic erythroderma confirmed by biopsies, associated with Kaposi sarcoma. Afterwards, HIV infection was confirmed by serological tests. Antiretroviral therapy was started, with positive response at one month of treatment. Erythrodermic psoriasis can be considered a skin marker of HIV infection when occurs in previously healthy patients or in recalcitrant psoriasis.
HIV感染可表现为不同的皮肤症状，这些症状有时被视为感染标志物。红皮病型银屑病是一种可能的表现形式，它是银屑病的一种广泛形式。我们报告了一例临床病例，一名年轻男子因活检确诊为银屑病红皮病，伴有卡波西肉瘤，怀疑感染了HIV。之后，通过血清学检测确诊为HIV感染。开始了抗逆转录病毒治疗，治疗一个月后有积极反应。当红皮病型银屑病发生在先前健康的患者或顽固性银屑病患者中时，可被视为HIV感染的皮肤标志物。
