| Popis: |
As our cases demonstrate, new-onset AR may occur in persons with HIV infection, especially those with AIDS.' The appearance or exacerbation of AR may be unrelated to the HIV disease and represent DISCUSSION toconazole cream 2%, oral minocycline, topical metronidazole gel, and sunscreen. After more than a year of therapy, the patient's condition is much improved with some residual erythema and telangiectasia, but no pustules and markedly decreased inflammation. Case 3. A 41-year-old white man had atopic dermatitis limited to the trunk since age 15. Although the patient had been HIY seropositive for a t least 6 years, his only symptoms were fatigue, thrush, and increased activity of his atopic dermatitis. One month before the onset of AR, his medication was changed from zidovudine to dideoxyinosine. Hcwas seen with a 3-month history of erythema, telangiectases, and pustules ma inly on the cheeks. He responded well to treatment with kctoconazole cream 2%, oral tetracycline, hydrocortisone cream I%, and sunscreen. Six months after initiation of therapy he has no pustules but some residual erythema and telangiectasia . From the Department of Dermatology,University of California, San Francisco" and the Department of Dermatology, San Francisco General Hospital ." Reprint requests:Timothy G. Berger, MD, Departmentof Dermatology,4M70,San FranciscoGeneral Hospital, 1001 PotreroAve., San Francisco, CA 94110. .I AM ACAD DERMATOL 1994;30:139-40. Copyright(e) 1994by the American Academyof Dermatology, Inc. 0190-9622/94 $1.00+ .10 16/54/49736 Kirsten Yin-Christian, MSIV,a Toby A. Maurer, MD,a and Timothy G. Berger, MDa,b San Francisco. California |
