Human immunodeficiency virus infection presenting with chronic actinic dermatitis: a case report.
BACKGROUND
We describe a case illustrating a rare but increasingly recognised association of chronic actinic dermatitis (CAD) with human immunodeficiency virus (HIV) infection.


METHODS
A 40-year-old Chinese man of skin type III presented with a photodistributed rash of 3 years' duration. Histology, phototesting and subsequent clinical course were consistent with CAD. HIV serology was positive. CD4 count was 26 cells/microL, with absence of acquired immunodeficiency syndrome (AIDS)-defining illnesses.


METHODS
Topical steroids, sun-protection and trimethoprim-sulphamethoxazole prophylaxis were prescribed.


RESULTS
Improvement was documented over the arms, but the facial plaques persisted.


CONCLUSIONS
CAD may be a presenting feature of advanced HIV infection.
Wong
S N
SN
National Skin Centre, 1 Mandalay Road, Singapore 308205. s_nwong@nsc.gov.sg
Khoo
S W
SW
D000279:Administration, Cutaneous; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010787:Photosensitivity Disorders / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D013256:Steroids / Q000008:administration & dosage / Q000627:therapeutic use; D013473:Sunscreening Agents / Q000627:therapeutic use
D000890:Anti-Infective Agents; D013256:Steroids; D013473:Sunscreening Agents