Send to

Choose Destination
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

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.
ART Centre, District Hospital, Palakkad, Kerala, India.
Science Health Allied Research and Education India Foundation, Hyderabad, Telangana, India.



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.


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.


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.


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.


CD4 count; HIV/AIDS; pruritic papular eruption

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center