Document 0700
 DOCN  M95A0700
 TI    Intolerable pruritis in an HIV-infected man. 
 DT    9510
 AU    Zuger A
 SO    AIDS Clin Care. 1995 Mar;7(3):23, 26. Unique Identifier : AIDSLINE
       AIDS/95700064
 AB    Nine out of ten HIV-infected people suffer from dermatologic complaints.
       Frequently, the morphology of HIV-associated skin lesions is
       characteristic enough for the clinician to construct an initial
       diagnosis and initiate a reasonable course of treatment until the
       diagnosis can be confirmed. However, HIV-associated pruritis can be
       difficult to diagnose and control. A debilitating itch could indicate
       eosinophilic, staphylococcal, or idiopathic folliculitis; severe
       generalisata characteristic of HIV infection; a drug allergy; severe
       HIV-related dermatophyte infection; or scabies. Scabies, frequently
       overlooked as a cause of severe pruritis in HIV infection, manifests
       atypically in HIV-infected individuals. Its spectrum ranges from
       pruritis with minimal or no cutaneous signs to the widespread, thick,
       crusted plaques called crusted or Norwegian scabies. Diagnosis requires
       microscopic inspection of a skin scraping or a biopsy, though response
       to empiric treatment with antimite agents may also be diagnostic. The
       frequent need for repeated courses of antimite medication in cases with
       large mite loads and hyperkeratotic lesions may, however, preclude
       accurate diagnosis via empiric treatment.
 DE    Adult  Case Report  HIV Infections/*COMPLICATIONS  Human
       Insecticides/THERAPEUTIC USE  Male  Pruritus/*COMPLICATIONS/DRUG THERAPY
       Pyrethrins/THERAPEUTIC USE  Scabies/*COMPLICATIONS/DRUG THERAPY
       NEWSLETTER ARTICLE

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