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Pruritus, Staphylococcus aureus, and Human Immunodeficiency Virus Infection

Pruritus, Staphylococcus aureus, and Human Immunodeficiency Virus Infection Abstract To the Editor.— Cutaneous infections by Staphylococcus aureus are frequent in human immunodeficiency virus (HIV)-infected patients, and may be pruritic.1 We have identified two patients who were HIV seropositive, with the following features: (1) adult-onset chronic pruritic eczematous dermatitis, temporarily related to infection with HIV; (2) S aureus-positive cultures of nares and skin; (3) peripheral eosinophilia; (4) extremely elevated serum IgE concentrations; (5) no history of atopy; and (6) dramatic response of pruritus and eczema to antistaphylococcal antibiotics. Report of Cases.—Case 1.— A 45-year-old man with acquired immunodeficiency syndrome-related complex, presented with a pruritic eczematous dermatitis of 2 years' duration. He had generalized follicular pustules, excoriated papules, and widespread eczematous, scaly plaques. Initially the dermatitis was accentuated on the dorsa of the hands. Nares and skin cultures were positive for S aureus. Results of laboratory tests disclosed the following values: white blood cell count, 5.2 × References 1. Duvic M. Staphylococcal infections and the pruritus of AIDS-related complex . Arch Dermatol. 1987;123:1599.Crossref 2. Lin R. Chronic diffuse dermatitis and hyper-IgE in HIV infection . Acta Derm Venereol (Stockh) . 1988;68:486-491. 3. Abramson J, Dahl M, Walsh G, Blumenthal M, Douglas S, Quie P. Antistaphylococcal IgE in patients with atopic dermatitis . J Am Acad Dermatol. 1982;7:105-110.Crossref 4. Berger TG, Jacobson MA, Becker B, Chambers HF. Nasal carriage rate of Staphylococcus aureus (SA) in AIDS and ARC patients . Presented at the Twenty-Ninth Interscience Conference on Antimicrobial Agents and Chemotherapy, September 1989, Houston, Tex . Abstract. 5. Ellis M, Gupta S, Galant S, et al. Impaired neutrophil function in patients with AIDS or AIDS-related complex: a comprehensive evaluation . J Infect Dis. 1988;158:1268-1276.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pruritus, Staphylococcus aureus, and Human Immunodeficiency Virus Infection

Scully, Megin; Berger, Timothy G.
Archives of Dermatology , Volume 126 (5) – May 1, 1990
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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1990.01670290132029
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Cutaneous infections by Staphylococcus aureus are frequent in human immunodeficiency virus (HIV)-infected patients, and may be pruritic.1 We have identified two patients who were HIV seropositive, with the following features: (1) adult-onset chronic pruritic eczematous dermatitis, temporarily related to infection with HIV; (2) S aureus-positive cultures of nares and skin; (3) peripheral eosinophilia; (4) extremely elevated serum IgE concentrations; (5) no history of atopy; and (6) dramatic response of pruritus and eczema to antistaphylococcal antibiotics. Report of Cases.—Case 1.— A 45-year-old man with acquired immunodeficiency syndrome-related complex, presented with a pruritic eczematous dermatitis of 2 years' duration. He had generalized follicular pustules, excoriated papules, and widespread eczematous, scaly plaques. Initially the dermatitis was accentuated on the dorsa of the hands. Nares and skin cultures were positive for S aureus. Results of laboratory tests disclosed the following values: white blood cell count, 5.2 × References 1. Duvic M. Staphylococcal infections and the pruritus of AIDS-related complex . Arch Dermatol. 1987;123:1599.Crossref 2. Lin R. Chronic diffuse dermatitis and hyper-IgE in HIV infection . Acta Derm Venereol (Stockh) . 1988;68:486-491. 3. Abramson J, Dahl M, Walsh G, Blumenthal M, Douglas S, Quie P. Antistaphylococcal IgE in patients with atopic dermatitis . J Am Acad Dermatol. 1982;7:105-110.Crossref 4. Berger TG, Jacobson MA, Becker B, Chambers HF. Nasal carriage rate of Staphylococcus aureus (SA) in AIDS and ARC patients . Presented at the Twenty-Ninth Interscience Conference on Antimicrobial Agents and Chemotherapy, September 1989, Houston, Tex . Abstract. 5. Ellis M, Gupta S, Galant S, et al. Impaired neutrophil function in patients with AIDS or AIDS-related complex: a comprehensive evaluation . J Infect Dis. 1988;158:1268-1276.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: May 1, 1990

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