Itin P H, Gilli L
Department of Dermatology, University of Basel, Switzerland.
Dermatology. 1994;189(4):396-8. doi: 10.1159/000246887.
We report on three HIV-infected homosexual male patients with atypical manifestations of mollusca contagiosa (MC). Their clinical presentation mimicked sebaceous nevus of Jadassohn, ecthyma and giant condylomata acuminata. HIV-infected patients feature MC with atypical morphology in about two thirds of the cases. The atypical aspects of MC concern the localization, morphology, growth pattern and size of the lesions. MC is a late manifestation of HIV infection and mirrors marked cellular immune deficiency. We conclude that in HIV-infected patients all tumorous lesions should be biopsied because the clinical characteristics are often not specific enough for a definite diagnosis.
我们报告了3例感染人类免疫缺陷病毒（HIV）的同性恋男性患者，他们患有传染性软疣（MC）的非典型表现。其临床表现类似雅达松皮脂腺痣、深脓疱疮和巨大尖锐湿疣。在约三分之二的病例中，感染HIV的患者表现为形态非典型的MC。MC的非典型方面涉及病变的部位、形态、生长方式和大小。MC是HIV感染的晚期表现，反映了明显的细胞免疫缺陷。我们得出结论，对于感染HIV的患者，所有肿瘤性病变均应进行活检，因为其临床特征往往不够特异，无法做出明确诊断。
