Pattern of muco-cutaneous manifestations in HIV infected children at tertiary care hospital, north Karnataka, India

Ramesh Rajesh Pol, Raghavendra Narayan Vanaki, Bhuvaneshwari Chandrashekhar Yelamali, Ashok Vinayak Badakali


Background: Mucocutaneous diseases are more common children with HIV infection than normal population. These develop a wide variety of infectious and inflammatory diseases of the skin. In some cases, disorders of the skin or mucous membrane may provide an early clue to the presence of HIV infection. Objective: To determine the prevalence and pattern of mucocutaneous manifestation in HIV infected children.
Methods: All serologically positive children admitted in paediatric ward of S. Nijalingappa Medical College, Bagalkot, between the age group of 18 months to 14 years were studied from October 2010 to March 2012 (18 months period). Clinical information was collected using standard questionnaire.
Results: 85 children who fulfilled inclusion criteria were enrolled in the study. 57 children had mucocutaneous manifestation and most of them were aged more than 5 years. The most prevalent mucocutaneous disorders were infectious dermatosis. Most of them were seen with WHO stage III and IV, and with moderate and severe immunosuppresion. Two or more mucocutaneous disorders were found in moderate and severe immunosuppresion.
Conclusions: The prevalence of mucocutaneous disorders is high in HIV infected children with varied pattern. Advanced immunosuppresion is highly associated with a wide spectrum of mucocutaneous disorders.


Cutaneous, HIV infection, Immunosuppresion

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