Open AccessChronic actinic dermatitis: An only presenting manifestation of human immunodeficiency virus in a young Indian male
Author(s) -
Manoj Pawar,
Vijay Zawar
Publication year - 2020
Publication title -
indian journal of sexually transmitted diseases and aids
Language(s) - English
Resource type - Journals
eISSN - 2589-0565
pISSN - 2589-0557
DOI - 10.4103/ijstd.ijstd_8_19
Subject(s) - medicine , human immunodeficiency virus (hiv) , immunology , dermatology , immunodeficiency , presentation (obstetrics) , immune dysfunction , immunopathology , immune system , surgery
Skin diseases often provide the first clue to diagnose human immunodeficiency virus (HIV) infection and may serve as a clinical indicator of the underlying immune status of the patient. Photodermatitis in HIV patients presents with a protean of clinical manifestations, and it usually develops after the diagnosis or during the course of HIV, especially in patients with low CD4 counts. We present the case of a young, healthy Indian male with chronic actinic dermatitis (CAD), who was later confirmed to have HIV seropositivity with CD4 count of 180/μl, without any systemic illness or evidence of acquired immunodeficiency syndrome (AIDS)-defining illnesses. CAD as an initial presentation of HIV is a rare finding, especially in the absence of other AIDS-defining illnesses.