Human immunodeficiency virus infection presenting with chronic actinic dermatitis: a case report
Wong, S.N.; Khoo, S.W.
Annals of the Academy of Medicine Singapore 30(6): 664-667
2001
ISSN/ISBN: 0304-4602 PMID: 11817301 Document Number: 538009
We describe a case illustrating a rare but increasingly recognised association of chronic actinic dermatitis (CAD) with human immunodeficiency virus (HIV) infection. A 40-year-old Chinese man of skin type III presented with a photodistributed rash of 3 years' duration. Histology, phototesting and subsequent clinical course were consistent with CAD. HIV serology was positive. CD4 count was 26 cells/microL, with absence of acquired immunodeficiency syndrome (AIDS)-defining illnesses. Topical steroids, sun-protection and trimethoprim-sulphamethoxazole prophylaxis were prescribed. Improvement was documented over the arms, but the facial plaques persisted. CAD may be a presenting feature of advanced HIV infection.