[Skin diseases in patients with AIDS: study in 55 cases in Uberlândia, MG, Brazil]. / Dermatoses em pacientes com AIDS: estudo de 55 casos. Uberlândia, MG, Brasil.

UNLABELLED: Fifty-five patients with acquired immunodeficiency syndrome (AIDS) seen at the Dermatology outpatient clinic and who had mucocutaneous diseases were studied. These diseases, some of them opportunistic, are common but difficult to diagnose given the atypical features of the lesions. OBJECTIVES: The aim of this study was to analyse the frequency and clinical presentation of dermatoses related to Aids seen at the Dermatology outpatient clinic. METHODS: Fifty-five patients with Aids and mucocutaneous lesions were examined from 1995 to 1997 in a cross-sectional study carried out at the Dermatology outpatient clinic of the Universidade Federal de Uberlândia (Minas Gerais, Brazil). Biopsies and cultures were undertaken for laboratory diagnosis. RESULTS: One hundred sixteen dermatoses were diagnosed. Fungal infections (78%) were the commonest among them, followed by viral infections (40%), papulosquamous disorders (27%), papular eruptions (18%), adverse drug reactions (10%), tumors (9%) and a variety of others (7%). The majority of the patients (67%) had more than one type of skin disorder. CONCLUSIONS: In agreement with previous literature data fungal and viral infections were confirmed as the most frequent skin disorders in HIV-positive patients. Dermatological examination, laboratory tests and skin biopsy for histopathological study are necessary for appropriate diagnostic investigation of HIV-related mucocutaneous diseases considering that atypical presentation occurs in a large proportion of the patients.

Dermatoses em pacientes com AIDS: estudo de 55 casos. Uberlândia, MG, Brasil / Skin diseases in acquired immunodeficiency syndrome (AIDS): analysis of 55 Brazilian cases from Uberlândia - MG, Brazil

Foram estudados 55 pacientes com a síndrome da imunodeficiência adquirida (Aids), triados ao serviço de Dermatologia, apresentando doenças cutâneo-mucosas, algumas de caráter oportunista. As dermatoses säo freqüentes nestes doentes e, às vezes, de difícil diagnóstico pelo caráter atípico das lesöes. OBJETIVOS: Analisar a freqüência e apresentaçäo clínica das dermatoses relacionadas à Aids. MÉTODOS: Cinqüenta e cinco pacientes com Aids e lesöes tegumentares foram estudados, de modo transversal, no Serviço de Dermatologia da Universidade Federal de Uberlândia, de 1995 a 1997. Foram realizadas biopsias e culturas diversas para elucidaçäo diagnóstica. RESULTADOS: Foram encontradas 116 dermatoses, com predomínio das fúngicas (78 por cento), seguidas pelas virais (40 por cento), eritêmato-escamosas (27 por cento), pápulo-pruríticas (18 por cento), causadas por drogas (10 por cento), neoplásicas (9 por cento) e outras afecçöes cutâneo-mucosas (7 por cento). A maioria dos pacientes apresentou mais de uma dermatose (67 por cento). CONCLUSÖES: Confirmou-se a maior freqüência de dermatoses fúngicas, seguidas pelas virais, na Aids. Observou-se a necessidade de propedêutica bem elaborada para o diagnóstico preciso das dermatoses, devido à sua apresentaçäo atípica em grande número de doentes. O exame dermatológico e a biopsia das lesöes tiveram grande relevância na suspeita do diagnóstico de Aids