Eosinophilic folliculitis and staphylococcal folliculitis are common complications of human immunodeficiency virus (HIV) disease.1 This case series describes another form of folliculitis in HIV-infected individuals that appears to be associated with the use of androgenic or anabolic hormones.
Patients and Methods
Nine HIV-seropositive men (7 white and 2 Hispanic) with a mean age of 40 years were included. The clinical presentation was an acute follicular eruption on the trunk and upper extremities in patients receiving hormonal therapy for weight loss or hypogonadism (Table 1).
Table appears in full text version.
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Clinical Characteristics of Patients Receiving Hormonal Therapy*
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Biopsy samples were taken from 6 of 9 patients (2 biopsy samples from patients 4 and 8). Biopsy samples were taken from the erythematous follicular papules on the back (patients 2, 4, 5, and 8), flank (patient 1), and shoulder (patient 3). Bacterial and fungal cultures (including Pityrosporum cultures) were performed on the skin biopsy samples in 4 patients.
Results
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