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Transcript
Internal Medicine
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It tends to be Generalized
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Giant Moluscum contagiosum
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Secondary infection
Treatment
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Cryosugery or Curettage or Electrosurgery
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Podophyllin or Cantaridine or 5-fluorouracil
Pruritic papular eruption (PPE)
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It Chronic itchy condition commonly seen in HIV infected patients
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Symmetrical non-follicular papules on trunk and extensors of extremities
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The most common cutaneous manifestation in HIV- prevalence 11-46 %
Diagnosis: Biopsy
Treatment
Topical: Antipruritic lotion, Corticostroid, Oatmeal bath
Systemic: Antihistamin, coricosterroid, Phototherapy, UV-B, UVA + Psoralen
Cytomegalovirus (CMV)
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Cytomegalovirus (CMV)
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Herpes virus
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High incidence
o
30 - 40% in general population are positive antibody for CMV
o
90% or more in IV Drug abusers have positive antibody for CMV
o
20-30 % of patients with AIDS had CMV reactivation prior to the era of HAART
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Able to establish a latent infection that can reactivate
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Late-stage AIDS illness (CD+4 < 100)
Clinical manifestations: retinitis, esophagitis, colitis
CMV Retinitis;
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Clinical presentation:Visual disturbances – floaters , flashes of light photophobia and
blurring of vision ,painless, gradual loss of vision ,usually bilateral
Diagnosis confirmed by retinal exam
CMV GI Disease
Esophageal ulcers
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