Mucocutaneous Disorders of Pediatric HIV in South West Nigeria
| Autor: | Ayodele Ojuawo, O.S. Katibi, Adebola O. Ogunbiyi, Regina E. Oladokun, SK Ernest, Kikelomo Osinusi, Biobele J. Brown, Olanrewaju T. Adedoyin |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Pediatric hiv Immunology Mucocutaneous zone Human immunodeficiency virus (HIV) Nigeria HIV Infections Dermatology medicine.disease_cause Skin Diseases 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Child business.industry Infant Viral Load CD4 Lymphocyte Count Cross-Sectional Studies Infectious Diseases Child Preschool Female business Viral load |
| Zdroj: | Journal of the International Association of Providers of AIDS Care (JIAPAC). 15:423-431 |
| ISSN: | 2325-9582 |
| DOI: | 10.1177/2325957413502540 |
| Popis: | Objectives: Nigeria has the world’s highest burden of pediatric HIV. In the face of paucity of monitoring tests in Nigeria, we studied the spectrum of pediatric mucocutaneous manifestations and evaluated their clinical utility as surrogate markers for immunodeficiency and plasma viral load levels. Methods: Cross-sectional study comparing mucocutaneous manifestations in 155 HIV-positive children aged 12 weeks to 14 years with 155 HIV-negative children. Relationships between mucocutaneous manifestations in HIV-infected patients and their immunologic and virologic indices were analyzed. Results: Mucocutaneous lesions were seen in 53.5% of HIV-infected children compared with 18.1% of the controls. Prevalence of lesions increased with worsening levels of immunodeficiency and increasing viral loads ( P < .01). Oral candidiasis, angular stomatitis, and fluffy hair were associated with more severe degrees of immunodeficiency. Conclusion: Mucocutaneous disorders are common in HIV-infected children. Oral candidiasis and nutritional dermatoses can be used as surrogates for advanced or severe immunodeficiency. |
| Databáze: | OpenAIRE |
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