Pustular psoriasis and arthropathy in a patient with HIV infection. Clinical case
- 作者: Dubensky V.1, Nekrasova E.1, Dubensky V.1, Alexandrova O.1, Muraveva E.1
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隶属关系:
- Tver State Medical University
- 期: 卷 24, 编号 2 (2021)
- 页面: 151-160
- 栏目: DERMATOLOGY
- URL: https://journals.rcsi.science/1560-9588/article/view/63949
- DOI: https://doi.org/10.17816/dv63949
- ID: 63949
如何引用文章
详细
The article presents a clinical case of pustular psoriasis and arthropathy in a patient with HIV infection. The diagnosis of psoriasis was confirmed by morphological examination. Signs of arthropathy were confirmed by X-Ray: presence of oligoarthritis of the distal interphalangeal joints of the fingers and feet was seen. Dactylitis severity ― 2–3 points, the Ritchie index ― 2, DLQI ― 28. The clinical course of psoriasis and its treatment in HIV-infected patients was considered after taking into account the data from literature and the patients current condition and observation. The above observation of a combination of several clinical forms of psoriasis (vulgar, pustular and arthropathy) in patients with HIV infection is an illustration of the features of the course and comorbidity of chronic dermatosis and AIDS, due to the influence of the infectious process, immunosuppression and ART. The development of pustular form and arthropathy creates the additional challenge of prescribing basic systemic treatment for severe and complicated psoriasis in an HIV-infected patient due to the presence of contraindications due to comorbidity. The glucocorticosteriod selected by the committee was effective on the skin and joint pathological processes, without having any negative impact on the course and treatment of the HIV infection. Such cases require further study and development of methods for the treatment of patients with comorbidity and their inclusion in an additional section in the clinical recommendations for the diagnosis and treatment of psoriasis.
作者简介
Valery Dubensky
Tver State Medical University
Email: valerydubensky@yandex.ru
ORCID iD: 0000-0003-2674-1096
SPIN 代码: 3577-7335
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, 4 Sovetskaya street, 170000 TverElizaveta Nekrasova
Tver State Medical University
Email: nekrasova-7@mail.ru
ORCID iD: 0000-0002-2805-6749
SPIN 代码: 5831-5824
MD, Cand. Sci. (Med.), Associate Professor
俄罗斯联邦, 4 Sovetskaya street, 170000 TverVladislav Dubensky
Tver State Medical University
Email: dubensky.vladislav@yandex.ru
ORCID iD: 0000-0002-5583-928X
SPIN 代码: 6044-8507
MD, PhD, Professor of the Department of Dermatovenerology with the course of Cosmetology
俄罗斯联邦, 4 Sovetskaya street, 170000 TverOlga Alexandrova
Tver State Medical University
Email: olyaxandrova@gmail.com
ORCID iD: 0000-0001-8281-3619
SPIN 代码: 8080-0721
Assistant at the Department of Dermatovenereology with a course of cosmetology
俄罗斯联邦, 4 Sovetskaya street, 170000 TverEkaterina Muraveva
Tver State Medical University
编辑信件的主要联系方式.
Email: katerisha87@yandex.ru
ORCID iD: 0000-0001-5326-4876
SPIN 代码: 3332-8424
Assistant at the Department of Dermatovenereology with a course of cosmetology
俄罗斯联邦, 4 Sovetskaya street, 170000 Tver参考
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