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Indian J Sex Transm Dis AIDS. 2019 Jul-Dec;40(2):146-151. doi: 10.4103/ijstd.IJSTD_69_18.

Prevalence of pruritic papular eruption among HIV patients: A cross-sectional study.

Author information

1
Department of Skin and STD, Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
2
ART Centre, District Hospital, Palakkad, Kerala, India.
3
Science Health Allied Research and Education India Foundation, Hyderabad, Telangana, India.

Abstract

Introduction:

Pruritic papular eruption (PPE) remains as one of the most common cutaneous manifestations in HIV-infected patients. Proper knowledge about understanding the risk factors associated with this disease may help to decrease the prevalence of PPE.

Objective:

The present study was conducted to determine the prevalence of PPE in HIV-infected patients and to correlate between the severity of PPE and individual CD4 count.

Materials and Methods:

This was a cross-sectional study, conducted in Palakkad Antiretroviral Therapy Centre, Kerala, between March 2017 and April 2017. A total of 100 HIV patients with evidence of multiple itchy skin lesions of 1-month duration were included in the study. Severity of lesion was evaluated using an objective "rash severity scale" for PPE. Data were coded and analyzed.

Results:

Prevalence of PPE was 11.35% in our study. The mean age of the study population was 41.17 ± 12. Male-to-female ratio was 1:2. In our study, 97% of the patients were giving history of mosquito bite. Most of the patients (40%) had moderate type of PPE. In our study, majority (86%) had a CD4 count of more than 200, and the incidence of PPE was more frequently seen in patients with CD4 count more than 200 cells which was statistically significant.

Conclusion:

PPEs are unique dermatosis, which is having a devastating impact on the quality of life, stigmatizing them in their communities. Thus, recognizing those lesions helps in allowing better treatment of this distressing condition.

KEYWORDS:

CD4 count; HIV/AIDS; pruritic papular eruption

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