Mucocutaneous manifestations in newly diagnosed cases of HIV, correlation with CD4 counts and WHO staging at a tertiary care center


  • Krishna Santosh Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh
  • Chandan Ashokan Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh
  • Avisa Vijay Mohan Rao Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh



Mucocutaneous manifestations, Human Immunodeficiency Virus, CD4 counts, Candidiasis, Herpes zoster


Background:Mucocutaneous infections have played an important role in initial diagnosis of HIV infection and in clinical staging of the disease. Mucocutaneous manifestations in HIV infected individuals are myriad and can serve as a main indicator of other problems. Health care personnel involved in HIV health care must therefore have a clear idea of type, pattern, and prevalence of skin diseases in their locality. The objective of the study was to determine the various mucocutaneous manifestations in newly diagnosed cases of HIV and to correlate them with CD4 cell counts. The manifestations and CD4 cell counts are correlated with WHO staging of the disease.

Methods:Data was collected from all the newly diagnosed cases of HIV presenting to the Department of Dermatology. Thorough clinical examination was done and findings were noted. CD4 cell counts were performed by FACS counter and supportive laboratory tests were done for diagnosis of other skin manifestations.

Results:250 cases were enrolled with males 148 and 102 females. Most common age group was middle age group and hetero sexual route was the most common route of transmission. Bacterial skin infections were more common and candidiasis was most common among fungal infections. Herpes zoster was most common in viral infections. Significant correlation was observed between CD4 cell counts and WHO clinical staging of disease. Majority of infections were more common at advanced stage of HIV.

Conclusions:To conclude, HIV-related mucocutaneous manifestations are a good clinical clue in diagnosis of advanced stages of HIV. Most of these manifestations can serve as diagnostic and prognostic markers in HIV infection. Management of HIV related mucocutaneous manifestations should always be precluded with a screening of CD4 cell counts. A lowered CD4 cell counts will prolong the duration of treatment and may significantly alter the outcome of the disease.

Author Biographies

Krishna Santosh, Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh

Assistant Professor, Department of Dermatology

Chandan Ashokan, Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh

Assistant Professor, Department of Dermatology

Avisa Vijay Mohan Rao, Department of Dermatology, Narayana Medical College, Chinthareddypalem, Nellore, Andhra Pradesh

Professor& HOD, Department of Dermatology


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