Document 1164 DOCN M9591164 TI [Transformation of multiple basaliomas to squamous cell carcinomas in an HIV patient with Gorlin-Goltz syndrome] DT 9509 AU Wolfer LU; Blume-Peytavi U; Almond-Roesler B; Gollnick H; Orfanos CE; Universitats-Hautklinik und Poliklinik, Klinikum Steglitz,; Freien Universitat Berlin. SO Hautarzt. 1995 Apr;46(4):268-71. Unique Identifier : AIDSLINE MED/95310144 AB We report on a 32-year-old male patient with Gorlin-Goltz syndrome, who presented with excessive numbers of superinfected basal cell carcinoma. This led us to suspect an underlying HIV infection, which was confirmed by ELISA and Western blotting. Laboratory investigation of the immunological state revealed severe immunosuppression with 267 CD4+ lymphocytes and a CD4/CD8 ratio of 0.3. The histological picture showed multiple basal cell carcinomas, some of them transforming into squamous cell carcinomas. We suspect that the excessive number and the unusual clinical and histological picture of the basal cell carcinomas in this patient were probably influenced by the underlying HIV infection. DE Adult AIDS-Related Opportunistic Infections/PATHOLOGY Basal Cell Nevus Syndrome/*PATHOLOGY Biopsy Carcinoma, Squamous Cell/*PATHOLOGY Case Report Cell Transformation, Neoplastic/*PATHOLOGY English Abstract Human HIV Seropositivity/*PATHOLOGY Male Skin/PATHOLOGY Skin Neoplasms/*PATHOLOGY Superinfection/PATHOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).