Page 61 - LECTURE NOTES

dermatitis and scaly eczematous lesions starting form the scalp and seborrheic area

may suggest seborrheic eczema.

Course and Prognosis
Prognosis depends on underlying etiology. Despite the best attention to all details,

patients may succumb to infections or, if they have cardiac problems, to cardiac failure
(“high output” failure) or to the effects of the prolonged glucocorticoid therapy that may

be required.

Management

This is an important medical problem that should be dealt with in a modern inpatient

dermatology facility with experienced personnel. The patient should be hospitalized in
a single room, at least for the beginning workup and during the development of a

therapeutic program. The hospital room conditions (heat and cold) should be adjusted
to the patient’s needs; most often these patients need a warm room with many

blankets.

Topical Water baths with added bath oils, followed by application of bland emollients.

Systemic oral glucocorticoids for remission induction and for maintenance (except in
psoriatic EES); systemic and topical therapy as required by underlying

condition.Supportive cardiac, fluid, electrolyte, protein replacement therapy as
required.

3.14. Common skin manifestations of HIV/AIDS

Up to 92% of HIV/AIDS patient will have one or more skin disorders during the course
their illness

The cutaneous manifestations occurring in HIV infection are mostly due to the
alterations in the immune system. Presenting with atypical presentation, more

disseminated disease, or being resistant to conventional therapies and patient having
related disorders eg candidiasis, H. zoster – etc and the general condition of the

patient wasted etc

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