Prevalence of mucosal and cutaneous disorders among HIV/AIDS adult Filipino patients 18-60 years old seen in a tertiary hospital in Makati city

Authors: Rahina H. Galvez, MD, Ma. Jasmin J. Jamora, MD, FPDS, Janice C. Caoili, MD

Abstract

Introduction: There has been a recent rise in the number of HIV/AIDS patients in the Philippines. In addition, mucosal and cutaneous diseases among HIV/AIDS patients can help assess the disease severity and prognosis.

Objective: To determine the mucosal and cutaneous disease findings of HIV/AIDS patients seen in a tertiary hospital in Makati City; to describe these dermatologic findings based on patient’s latest CD4 counts and to determine demographic profile of these patients.

Methodology: This is a Prospective Cross sectional study conducted on patients seen on a tertiary hospital in Makati City from January 2017 to September 2018

Results: A total of 93 patients were enrolled in the study. Majority were males (98%), with a mean age of 32 + 7.08, employed (64%), obtained a bachelor’s degree (72%) and on HAART (87.1%). A large part of the group (45%) has severe immunosuppression with CD4 counts of <200/mm3. A total of 126 dermatoses were seen and increase in number of dermatoses were observed on patients with low CD4 counts (<200/mm3). Non-infective dermatoses (52%) were the most common manifestations followed by fungal infections (22%) and drug related dermatoses (13%).

Conclusion: A wide range of distinct cutaneous findings among HIV patients can be seen which could help determine underlying degrees of immunosuppression and disease prognosis. With the introduction of HAART, this has altered disease progression of the patients thereby reflecting the changing spectrum of the dermatologic diseases seen among HIV/AIDS patients.

 

Citation

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Keywords

mucocutaneous, HIV/AIDS, CD4 count

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