Template:Template sandbox: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 15: Line 15:
**Primarily presents in homosexual men(men with HIV who are sexually active with other men)
**Primarily presents in homosexual men(men with HIV who are sexually active with other men)
**Red or purple papules with no necrosis
**Red or purple papules with no necrosis
*Basal cell carcinoma
*Basal cell carcinoma
**Single, pink, flesh-colored papules
**Single, pink, flesh-colored papules
**Arise slowly
**Arise slowly
*Disseminated Mycobacterium avium complex:
**Common opportunistic infection
**Affects patients with advanced AIDS
**Presents as fever, night sweats, abdominal pain, diarrhea, weight loss
**Cutaneous lesions are uncommon and are usually nodular and ulcerating

Revision as of 23:13, 14 October 2019

Cutaneous cryptococcosis:

  • Cryptococcus neoformans is an encapsulated yeast
  • Occurs in patients with advanced HIV (CD4<100/mm3)
  • The most common manifestation is meningoencephalitis
  • Pulmonary and/or disseminated disease may occur
  • Cutaneous cryptococcosis considered as a marker of disseminated disease
  • Rapid onset of multiple widespread papular lesions with central umbilication
  • Diagnostic clue is the presence of a small area of central hemorrhage or necrosis
  • Resembles molluscum contagiosum
  • Most common areas affected are head and neck
  • Disseminated infections can affect liver, lymph nodes, peritoneum, adrenal gland, and eyes

DD:

  • Kaposi Sarcoma:
    • Primarily presents in homosexual men(men with HIV who are sexually active with other men)
    • Red or purple papules with no necrosis
  • Basal cell carcinoma
    • Single, pink, flesh-colored papules
    • Arise slowly
  • Disseminated Mycobacterium avium complex:
    • Common opportunistic infection
    • Affects patients with advanced AIDS
    • Presents as fever, night sweats, abdominal pain, diarrhea, weight loss
    • Cutaneous lesions are uncommon and are usually nodular and ulcerating