Patient was diagnosed as psoriasis vulgaris in July 2010. Initially, patient had scalp scaling for few months, which was followed by typical annular scaly patches with silvery white scales over back, sacroiliac region, and extensor aspects of limbs. Patient developed early skin lesions in January 2010. As the patient was asymptomatic and CD4 count was 561, antiretroviral therapy (ART) was not started.įigure 1: Photograph of patient at the time of detection of human immunodeficiency virus All the relevant baseline investigations such as complete blood count, liver function test, renal function test, lipid profile, and urine routine were within normal range.īase line CD4 count was done and 561 cells/cmm. Vitiligo and alopecia areata (AA) are considered to be T-cell mediated autoimmune disorders their paradoxical coexistence in the setting of immunocompromised host is intriguing.Ī 60-year-old male patient was diagnosed HIV positive in April 2010, while screening as a preoperative work up for hernia surgery. Although, psoriasis and psoriatic arthritis have been classically associated with HIV, its association with, vitiligo vulgaris and alopecia is rare. We report a Person living with human immunodeficiency virus (HIV)/AIDS developing psoriasis, vitiligo vulgaris, and alopecia universalis in a sequential manner. Sequential development of psoriasis, alopecia universalis, and vitiligo vulgaris in a human immunodeficiency virus seropositive patient: A unique case report. How to cite this URL: Gaurkar SP, Parmar KS, Shah BJ. How to cite this article: Gaurkar SP, Parmar KS, Shah BJ.
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