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Eosinophilic Folliculitis in 2 HIV-Positive Women
Benjamin B. Hayes, MD, PhD;
Rachel C. Hille, MD;
Lynne J. Goldberg, MD
Arch Dermatol. 2004;140:463-465.
Background Human immunodeficiency virus–associated eosinophilic folliculitis (HIV-EF) among homosexual men is a commonly reported dermatologic finding, while only 4 cases in HIV-positive women have been documented in the literature to date. This article describes 2 additional cases of HIV-EF in immunocompromised women and reviews the data on this condition.
Observations The diagnoses were made on the basis of clinical appearance and microscopic analysis of skin biopsies. The women were not receiving highly active antiretroviral therapy (HAART) and their CD4 cell counts were below 100/µL.
Conclusions As HIV prevalence continues to increase in the female population, more cases of HIV-EF will be seen among women. Because the etiology of HIV-EF remains elusive, no single treatment stands above the rest although several successful therapies have been demonstrated. However, HAART restores the proper T-cell milieu, which seems to improve the course of this disease.
From the Department of Medicine, Chattanooga Unit University of Tennessee College of Medicine, Chattanooga (Dr Hayes); the University of North Dakota School of Medicine, Grand Forks (Dr Hille); and the Dermatopathology Section, Department of Dermatology, Boston University School of Medicine, Boston, Mass (Dr Goldberg). The authors have no relevant financial interest in this article.
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Rajendran et al.
Arch Dermatol 2005;141:1227-1231.
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