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Staphylococcal Infections and the Pruritus of AIDS-Related Complex

Staphylococcal Infections and the Pruritus of AIDS-Related Complex Abstract To the Editor.— Dermatologic problems occur in 80% of patients who manifest symptoms of human immunodeficiency virus infection: acquired immunodeficiency syndrome (AIDS)-related complex (ARC) and AIDS. Two of these, especially common in our AIDS dermatology clinic, have not received much attention in the literature.1-3Staphylococcal infections are often found in patients with ARC,4 even at T4 counts of 0.5 × 109/L (500/mm3) in our experience. We have now seen, cultured, and treated 25 cases of intertriginous or axillary staphylococcal infection that look exactly like candidiasis. There are confluent red lesions in the axilla or groin with satellite pustulosis. Cultures have been positive for staphylococcus aureus, resistent to erythromycin therapy, and negative for Candida. The eruption is an atypical presentation of bullous impetigo and responds to dicloxicillin therapy administered orally in several days.The second cutaneous manifestation of ARC is generalized pruritus, which is severe and References 1. Kaplan MH, Sadick N, McNutt S, et al: Dermatologic findings and manifestations of acquired immunodeficiency syndrome (AIDS) . J Am Acad Dermatol 1987;16:485-506.Crossref 2. Rampen FHJ: AIDS and the dermatologist . Int J Dermatol 1987;26:1-7.Crossref 3. Warner LC, Fisher BK: Cutaneous manifestations of the acquired immunodeficiency syndrome . Int J Dermatol 1986;25:337-350.Crossref 4. Armstrong D, Gold JWM, Janski J, et al: Treatment of infections in patients with the acquired immunodeficiency syndrome . Ann Intern Med 1985;103:738-743.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Staphylococcal Infections and the Pruritus of AIDS-Related Complex

Archives of Dermatology , Volume 123 (12) – Dec 1, 1987

Staphylococcal Infections and the Pruritus of AIDS-Related Complex

Abstract

Abstract To the Editor.— Dermatologic problems occur in 80% of patients who manifest symptoms of human immunodeficiency virus infection: acquired immunodeficiency syndrome (AIDS)-related complex (ARC) and AIDS. Two of these, especially common in our AIDS dermatology clinic, have not received much attention in the literature.1-3Staphylococcal infections are often found in patients with ARC,4 even at T4 counts of 0.5 × 109/L (500/mm3) in our experience. We have now seen, cultured,...
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1987.01660360027005
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Dermatologic problems occur in 80% of patients who manifest symptoms of human immunodeficiency virus infection: acquired immunodeficiency syndrome (AIDS)-related complex (ARC) and AIDS. Two of these, especially common in our AIDS dermatology clinic, have not received much attention in the literature.1-3Staphylococcal infections are often found in patients with ARC,4 even at T4 counts of 0.5 × 109/L (500/mm3) in our experience. We have now seen, cultured, and treated 25 cases of intertriginous or axillary staphylococcal infection that look exactly like candidiasis. There are confluent red lesions in the axilla or groin with satellite pustulosis. Cultures have been positive for staphylococcus aureus, resistent to erythromycin therapy, and negative for Candida. The eruption is an atypical presentation of bullous impetigo and responds to dicloxicillin therapy administered orally in several days.The second cutaneous manifestation of ARC is generalized pruritus, which is severe and References 1. Kaplan MH, Sadick N, McNutt S, et al: Dermatologic findings and manifestations of acquired immunodeficiency syndrome (AIDS) . J Am Acad Dermatol 1987;16:485-506.Crossref 2. Rampen FHJ: AIDS and the dermatologist . Int J Dermatol 1987;26:1-7.Crossref 3. Warner LC, Fisher BK: Cutaneous manifestations of the acquired immunodeficiency syndrome . Int J Dermatol 1986;25:337-350.Crossref 4. Armstrong D, Gold JWM, Janski J, et al: Treatment of infections in patients with the acquired immunodeficiency syndrome . Ann Intern Med 1985;103:738-743.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1987

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