Follicular accentuation of leukocytoclastic vasculitis in an HIV-seropositive man. Report of a case and review of the literature.
Palpable purpura in a follicular localization developed in association with acute epididymitis in a white man who was seropositive for the human immunodeficiency virus (HIV). Biopsy specimens revealed a leukocytoclastic vasculitis with follicular accentuation. With antibiotic therapy the vasculitis resolved, but it recurred during repeated episodes of the epididymitis. Follicular accentuation of skin disease is often seen in HIV-seropositive patients. Leukocytoclastic vasculitis with a follicular localization may be the presenting skin manifestation of HIV infection.
Weimer
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CE
Department of Dermatology, Medical University of South Carolina, Charleston 29425-2215.
Sahn
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EE
D000328:Adult; D004823:Epididymitis / Q000473:pathology; D005832:Genital Diseases, Male / Q000473:pathology; D006679:HIV Seropositivity; D006197:Hair / Q000473:pathology; D006801:Humans; D007868:Leg Dermatoses / Q000473:pathology*; D007962:Leukocytes / Q000473:pathology; D008297:Male; D011693:Purpura / Q000473:pathology*; D012611:Scrotum / Q000473:pathology; D012867:Skin / Q000098:blood supply*; D014657:Vasculitis / Q000473:pathology*