Successional occurrence of two papulosquamous disorders in HIV positive patient: a rare case report
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20214216Keywords:
Psoriasis, Lichen planus, HIVAbstract
Presentation of two papulosquamous disorders in a same individual is rare condition till date. Independently, psoriasis and Lichen planus (LP) are common inflammatory skin conditions affecting around 2-3% and 1% of HIV (Human immune deficiency) positive population respectively. As reviewed in the literature, psoriasis may be independently associated with other autoimmune conditions like vitiligo, alopecia areata, lichen planus, and discoid lupus erythematosus. In this article, we presented a case report of a HIV seropositive patient who suffered from psoriasis and lichen planus. The coexistence of psoriasis and lichen planus in one individual is rare and underreported in literature. Psoriasis or lichen planus may be the presenting feature of HIV infection and tends to be more severe, to have atypical presentations. Psoriasis and lichen planus can be coexistent or successionally appear one after other in one individual though rare presentation. High index of suspicion is always required while dealing with papulosquamous lesions in PLHIV.
Metrics
References
Sandhu S, Sinha P, Shelly D, Bhatt S. A Rare Presentation of Concurrent Onset and Coexistence of Generalized Lichen Planus and Psoriasis in a Child. Indian Dermatol Online J. 2020;11(4):616-8.
Queirós N, Torres T. HIV-Associated Psoriasis. Actas Dermosifiliogr. 2018;109(4):303-11.
Morar N, Owen SA, Maurer T, Bunker CB. HIV-associated psoriasis: pathogenesis, clinical features, and management. Lancet Infect Dis. 2010;10(7):470-8.
Kiluk P, Flisiak I. The coexistence of oral lichen planus and psoriasis vulgaris–a case report. Dermatol Rev. 2016;103(2):119-23.
Rippis GE, Becker B, Scott G. Hypertrophic lichen planus in three HIV-positive patients: a histologic and immunological study. J Cutan Pathol. 1994;21(1):52-8.
Fitzgerald E, Purcell SM, Goldman HM. Photodistributed hypertrophic lichen planus in association with acquired immunodeficiency syndrome: a distinct entity. Cutis. 1995;55(2):109-11.
Pardo RJ, Kerdel FA. Hypertrophic lichen planus and light sensitivity in an HIV-positive patient. Int J Dermatol. 1988;27(9):642-4.
Bittencourt MJ, Brito AC, Nascimento BA, Carvalho AH, Nascimento MD. A case of secondary syphilis mimicking palmoplantar psoriasis in HIV infected patient. An Bras Dermatol. 2015;90(3):216-9. Emadi SN, Mogaddam J, Yousefi M, Sobhani B, Moshkforoush A, Emadi SE. Extensive hypertrophic lichen planus in an HIV positive patient. Dermatol Online J. 2010;16(6):8.
Fife DJ, Waller JM, Jeffes EW, Koo JY. Unraveling the paradoxes of HIV-associated psoriasis: a review of T-cell subsets and cytokine profiles. Dermatol Online J. 2007;13(2):4.
