Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2020  |  Volume : 41  |  Issue : 2  |  Page : 207-210

Chronic actinic dermatitis: An only presenting manifestation of human immunodeficiency virus in a young Indian male

Department of Dermatology, MVP's Dr.Vasantaro Pawar Medical College and Hospital and Research Center, Nashik, Maharashtra, India

Correspondence Address:
Dr. Manoj Pawar
Flat No. 11, Manomay Apartment, Khande Mala, Savatanagar, CIDCO, Nashik - 422 008, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijstd.IJSTD_8_19

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Skin diseases often provide the first clue to diagnose human immunodeficiency virus (HIV) infection and may serve as a clinical indicator of the underlying immune status of the patient. Photodermatitis in HIV patients presents with a protean of clinical manifestations, and it usually develops after the diagnosis or during the course of HIV, especially in patients with low CD4 counts. We present the case of a young, healthy Indian male with chronic actinic dermatitis (CAD), who was later confirmed to have HIV seropositivity with CD4 count of 180/μl, without any systemic illness or evidence of acquired immunodeficiency syndrome (AIDS)-defining illnesses. CAD as an initial presentation of HIV is a rare finding, especially in the absence of other AIDS-defining illnesses.

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