关键词: CD4 PLHIV TLD pyoderma gangrenosum

来  源:   DOI:10.4103/ijd.ijd_680_23   PDF(Pubmed)

Abstract:
We report a case of a 54-year-old female diagnosed with HIV and antiretroviral therapy (ART) for the same. Seven years ago, she suffered from fever, cough and weight loss, was diagnosed with pulmonary tuberculosis and also seropositive for HIV. She suffered from Herpes Zoster infection, after which her ART regimen was changed to TLD (tenofovir, lamivudine and dolutegravir). The patient presented with two episodes of pyoderma gangrenosum (PG), which were biopsy-proven, corresponding to a rise in CD4 counts above 500. She responded to glucocorticoids, both systemic and topical.
摘要:
我们报告了一例54岁的女性,被诊断患有HIV和抗逆转录病毒治疗(ART)。七年前,她发烧了,咳嗽和体重减轻,被诊断为肺结核和艾滋病毒血清阳性。她患有带状疱疹感染,之后,她的ART方案改为TLD(替诺福韦,拉米夫定和杜鲁特韦)。患者出现了两次坏疽性脓皮病(PG),经活检证实,对应于CD4计数上升超过500。她对糖皮质激素有反应,系统和局部。
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