[Acute primary stage of HIV infection and progression to AIDS with Kaposi sarcoma 24 months later].
The case is reported of a 31-year-old homosexual male who developed distinct maculopapular and papulovesicular exanthema with aphthous-like, painful lesions of the oral mucosa, together with marked general symptoms (fever, diarrhoea, lymphadenopathy). This clinical picture suggested the primary acute phase of an initial HIV infection; during this phase the HIV-ELISA and Western blot test were negative. One year later the patient was found to be HIV-positive, showing oral candidosis, generalized lymphadenopathy, seborrhoeic eczema and zoster infection (L5/S1). A further year later, the patient developed full-blown AIDS with disseminated Kaposi's sarcoma. This observation underlines the acute inflammatory character of the primary phase of HIV infection with initial exanthema and documents the appearance of AIDS-associated Kaposi's sarcoma in a time period of maximally 2 years thereafter.
Bratzke
B
B
Universitäts-Hautklinik, Klinikum Steglitz, Freien Universität Berlin.
Orfanos
C E
CE
D015492:AIDS Serodiagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000473:pathology*; D000328:Adult; D005500:Follow-Up Studies; D006562:Herpes Zoster / Q000473:pathology; D006716:Homosexuality; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology; D009894:Opportunistic Infections / Q000473:pathology; D012514:Sarcoma, Kaposi / Q000473:pathology*; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology*
Akutes Primärstadium einer HIV-Infektion und Ubergang in AIDS mit Kaposi-Sarkom 24 Monate danach.