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skin 'rash' of 2 months duration


skin 'rash' of 2 months duration


حالة سريرية

الوصف الكامل Background
A 35-year-old man presented with a skin 'rash' of 2 months duration. This had started as a single, small spot on his trunk, followed later by crops of similar lesions, all over; they were painless and did not itch.
القصة المرضية HPI
He had no other symptoms; in particular, no cough, chest symptoms, fever, weight loss or lymphadenopathy. He was apyrexial, with bilateral axillary and inguinal lymphadenopathy. About 20 purplish-red nodules were present on his trunk, face and palate as well as at the anal margin. His nose showed similar discoloration and swelling. White, wart-like projections of 'oral hairy leucoplakia' were present on the sides of his tongue.
الوضع الصحي والاجتماعي SH
He was homosexual, with one regular sexual partner over the preceding 2 years. He also participated in casual, unprotected sexual intercourse whilst on holiday. He had never used intravenous drugs.
الاستقصاءات Investigations
Investigations showed a normal haemoglobin, a normal white-cell count (4.9 x 109/l) and normal absolute lymphocyte count (1.8 x 109/l). After counselling, blood was sent for an HIV antibody test which was positive by enzyme-linked immunosorbent assay (ELISA) and confirmed by Western blotting . A second test was also positive. Immunological studies (Table C3.7) showed a raised serum IgA and analysis of lymphocyte subpopulations showed absolute depletion of CD4+ cells.
كتابة حرة وطرح موضوع النقاش!
what is the right diagnose?
Dr.Syrian's picture
by
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Is it Kaposi SarcomaRolling Eyes Rolling Eyes

Hot sauce's picture
Hot sauce
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or one of the early phases of HIV which causes lymphadenpathy and rash??? I really don't know the right name but this disease occurs in the early months of getting infected with HIV??Rolling Eyes Rolling Eyes
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Hot sauce
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you mean acute HIV phase

he is in the further stage and the first answer is right he has kaposi sacroma
and he has now the AIDS phase ..becuase his CD4 amount (0.20 x 109/l)

Quote:
or one of the early phases of HIV which causes lymphadenpathy and rash???

it can not be early phase ..becuase in this phase his Blood analysis is still negative
by enzyme-linked immunosorbent assay (ELISA) and by Western blotting

only after 3 months can it be positive

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Dr.Syrian
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Thank you anyway you are very cooperative
Hot sauce's picture
Hot sauce
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enta kaman
shokran 3la your partipation wel discus

allah yebarek fek

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Dr.Syrian
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may god bless us all keep the hard working AMIGOEye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink Eye-wink
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Hot sauce
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AMIN
jai 3la bali 7ot 2lb 7ob bas lesh ma fe bel smilie hon wla heart????

yallah had kirmalak my brotherEye-wink Eye-wink Eye-wink

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Dr.Syrian
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Thankx bro you made me to blush
I hope we can see each other???
Do you mind? And if we did not, I hope we will meet in haven insha allah
I think that our chatting is becoming out of the clincal cases?? Eye-wink

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Hot sauce
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