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Dermatologic Conditions according to Clinical Status

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Dermatologic Conditions according to Clinical Status

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Clinical StatusAssociated Dermatological Diseases
Most common at CD4 counts of <200 cells/µL in patients who are not on effective ART
  • Severe psoriasis (>50% body)
  • Extreme photodermatitis
  • Prurigo nodularis
  • Molluscum contagiosum (see photo in DermAtlasLink will take you outside the VA website. VA is not responsible for the content of the linked site.)
  • Adverse drug reactions
  • Mycobacteria: tuberculosis, kansasii, MAC
  • Fungal infections (eg, cryptococcus, aspergillosis)
  • Herpes zoster
  • Eosinophilic folliculitis
  • Bacillary angiomatosis (Bartonella)
  • Kaposi sarcoma
  • Lichenification
  • Diffuse seborrheic dermatitis
May occur at any CD4 count despite ART
  • Eczema
  • Xerosis
  • HPV-associated warts
  • Kaposi sarcoma (less common at higher CD4 count and with ART)
  • Staphylococcal and streptococcal skin infections
  • Drug reactions
May emerge or worsen with immune reconstitution on ART
  • Acne
  • Erythema nodosum
Associated with HIV/HCV coinfection
  • Lichen planus
  • Xerosis
  • Leukocytoclastic vasculitis
  • Pruritus without apparent rash

From Dermatologic Conditions
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009