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Crusted Plaques in an Immunocompromised HostQuiz Case
Benjamin Barankin, MD;
Stan Houston, MD, FRCPC;
Ken Alanen, MD;
Patricia T. Ting, BSc;
Gilles Lauzon, MD, PhD, FRCPC
University of Alberta, Edmonton
Arch Dermatol. 2005;141:263-268.
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REPORT OF A CASE
A 32-year-old female resident of a remote northern community in Canada who was known to be human immunodeficiency virus (HIV) positive for 6 years and not receiving antiretroviral therapy presented with multiple cutaneous lesions that had gradually developed over the previous year. She reported no history of travel, had no pets, and denied having fevers, chills, night sweats, or cough. Her medical history included occasional vomiting and diarrhea as well as increasing lethargy and somnolence. She noted that all her children had had head lice in the preceding year.
Laboratory tests revealed the following values: HIV RNA, 480 000 copies/mL (nondetectable, <50 copies/mL); CD4+ T-cell count, 60/µL (reference range [RR], 600-1200/µL), with 9% CD4+ lymphocytes (RR, 40%-60%); hemoglobin, 12.1 g/dL (RR, 11.1-15.0 g/dL); and leukocytes, 2.6 x 103/µL (RR, 3.7-10.5 x. . . [Full Text of this Article]
RELATED ARTICLE
Crusted Plaques in an Immunocompromised HostDiagnosis
Arch Dermatol. 2005;141(2):263-268.
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