The present study was undertaken to determine normal ranges for blood lymphocytes labeled with the monoclonal antibodies OKT3, OKT11, OKT4, and OKT8 and for the OKT4/OKT8 ratio. In addition, 26 patients with AIDS, 51 AIDS suspects, and 44 patients with infections were studied. The results of these determinations from six different study sites indicate that there is excellent intersite agreement in normal values obtained. These normal ranges may be used in clinical laboratory reporting. Data from patients indicate that a simultaneous review and comparison of OKT4+ values, OKT8+ values, and depression of the OKT4+/OKT8+ ratio is a useful indicator in clinically diagnosed AIDS patients and in AIDS suspects. These changes, moreover, cannot be attributed only to infection present in these patients, since in infection, the OKT4+/OKT8+ ratio does not exhibit the severe depression seen in AIDS. These results should provide a useful reference for further studies in diseased subjects.
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Indian J Sex Transm Dis AIDS
December 2024
Department of Dermatology and Venereology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Circinate balanitis, a common manifestation of reactive arthritis, is usually an associated finding seen with the clinical trial of arthritis, conjunctivitis, and urethritis. We hereby report a case of isolated circinate balanitis and its dermoscopic features in an adult patient. The patient responded successfully to treatment with topical tacrolimus 0.
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December 2024
Department of Dermatology, Venereology and Leprosy, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Alopecia is usually an overlooked manifestation of syphilis commonly seen in secondary syphilis with a prevalence of 2.9%-7%. It is broadly classified into symptomatic and essential alopecia and the observed patterns include moth-eaten type, generalized thinning, and mixed pattern.
View Article and Find Full Text PDFIndian J Sex Transm Dis AIDS
December 2024
Department of Dermatology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
Vestibular papillomatosis (VP) is an uncommon benign condition. This condition is very rare; hence, its incidence is difficult to estimate. It has been recorded in healthy young women in the range of 1%-33%.
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December 2024
Department of Pathology, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India.
In this case report, we present a 35-year-old homosexual man with advanced HIV disease and disseminated tuberculosis (TB) who developed paradoxical TB immune reconstitution inflammatory syndrome (IRIS). Corticosteroids, vital in life-threatening IRIS, were initiated, resulting in symptom resolution but unmasking AIDS-associated Kaposi's sarcoma (KS). Diagnostic confirmation revealed disseminated KS, necessitating a comprehensive therapeutic strategy involving chemotherapy and thalidomide as a steroid-sparing agent.
View Article and Find Full Text PDFIndian J Sex Transm Dis AIDS
December 2024
Department of Dermatology, Arnau de Vilanova Hospital, Valencia, Spain.
The appearance of antiviral therapy has led to a change in the prognosis and clinical manifestations of patients with human immunodeficiency virus infections and Kaposi's sarcoma. However, there are still countries in which access is inadequate and the disease progresses toward disseminated forms with an unfavorable outcome. We present two patients who presented with skin lesions that progressed for a month, compatible with disseminated Kaposi's sarcoma in the context of HIV.
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