oa Professional Nursing Today - Common skin and mucosal disorders in HIV / AIDS : clinical
Familiarity with cutaneous disease patterns in this population enables early diagnosis and institution of correct treatment, detection of unrecognised HIV infection or progression to the acquired immunodeficiency syndrome (AIDS), and, counselling and prevention of further transmission. Knowledge of the skin and mucosal signs of HIV / AIDS is important. Patients may present with these signs or they may develop during the course of the illness. Skin signs give an indication of the degree of immunodeficiency and prognosis of the patient. Skin signs form an integral component of the WHO staging system. Skin signs are a common component of drug reactions and the immune reconstitution and inflammation (IRIS) syndrome. The diagnosis of skin and mucosal conditions is often difficult. Patients may present with atypical signs, double and triple pathology are common, a single aetiologic agent may cause diverse clinical features, diverse aetiologic agents may cause a single morphological presentation, patients are often receiving multiple medications, drug interactions may occur, new conditions are regularly published, and cases are seen with new unpublished manifestations. Atypical presentation refers to unusual distribution and morphology of lesions, resistance to treatment and recurrence following adequate treatment.
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