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目的:研究HIV感染的皮肤性病患者的临床特点。方法:我院选择2014年4月-2015年4月间诊治的58例HIV感染患者,对其临床资料进行分析。结果:通过对所选患者进行分析,54例患者伴发皮肤性病,其中8例伴有至少两种皮肤性病。对于同时伴发梅毒的患者,主要表现为外生殖器、肛周、腹股沟以及会阴等部位出现湿润的扁平斑疹,之后在躯干和四肢的皮肤出现玫瑰疹;对于衣原体/支原体感染以及淋病患者,大多数在尿道及其周围存在炎性反应,而且会分泌出一种黏稠物质。另外,尖锐湿疣患者在阴茎包皮、冠状沟、外阴呈现菜花状、疣状赘生物。带状疱疹患者表现为皮疹相对广泛,疼痛剧烈,水疱较大,容易再次复发。药物性皮炎患者大多数表现为皮肤弥漫性肿胀和潮红,形成大疱和水疱,常常对黏膜造成累及,而且多伴有全身症状。荨麻疹患者多表现为全身大小不等的风团样皮疹。结论:HIV感染患者在疾病发展过程中可能出现多种皮肤性病,应尽快对其实施有针对性的检查,积极控制HIV感染情况。
Objective: To study the clinical features of HIV-infected dermatology patients. Methods: 58 cases of HIV-infected patients who were treated in our hospital from April 2014 to April 2015 were selected and their clinical data were analyzed. RESULTS: Of the 54 patients who were diagnosed with dermatological disease by analysis of selected patients, 8 were associated with at least two dermatoses. For patients with concomitant syphilis, mainly manifested as genital, perianal, groin and perineum and other parts appear moist Flat rash, followed by skin rash on the trunk and limbs; for chlamydia / mycoplasma infection and gonorrhea patients, large Most exist in the urethra and its surrounding inflammatory reactions, and will secrete a viscous material. In addition, patients with genital warts in the penis foreskin, coronal, genital cauliflower, verrucous neoplasm. Patients with shingles showed a relatively wide rash, severe pain, blisters larger, easy to relapse. Most patients with drug-induced dermatitis showed diffuse swelling and flushing of the skin, the formation of large blisters and blisters, often involving the mucosa, and often accompanied by systemic symptoms. Urticaria patients showed more than the size of the whole body wind-like rash. CONCLUSIONS: HIV-infected patients may develop various dermatosis during the development of the disease. Targeted examination should be conducted as soon as possible to actively control HIV infection.