The prevalence and spectrum of mucocutaneous disease in South African people living with HIV and accessing care at a district-level hospital
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | The prevalence and spectrum of mucocutaneous disease in South African people living with HIV and accessing care at a district-level hospital | |
| Creator | Claasens, Saskya Kannenberg, Susanna M.H. Jordaan, Henry F. Moxley, Karis Smith, Rhodine de Wet, Johann Visser, Willem I. | |
| Description | Background: Although the association between human immunodeficiency virus (HIV) and mucocutaneous diseases has been well studied within South African specialist centres, there is limited data from district-level hospitals. Available data may, therefore, fail to reflect the prevalence and full spectrum of dermatoses seen in people living with HIV (PLWH).Objectives: To determine the prevalence and spectrum of dermatoses seen in PLWH.Method: We conducted a cross-sectional, descriptive study of 970 PLWH (men and women, ≥ 18 years old) accessing care at Karl Bremer Hospital, a district-level hospital located in the Western Cape province, South Africa, between 01 September 2016 and 28 February 2017.Results: The prevalence of mucocutaneous disease in this sample was 12.7% (95% confidence interval [CI] 0.11–0.15). Non-infectious dermatoses comprised 71.0% of the disorders. Pruritic papular eruption (20.0%) and seborrheic dermatitis (6.0%) were the most common non-infectious dermatoses. Tinea corporis (8.0%) and oral candidiasis (6.0%) were the most prevalent infectious dermatoses. There was no significant association between skin disease category (infectious or non-infectious dermatoses) and patient demographics (gender and ethnicity) or HIV-disease characteristics (CD4+ cell count, viral load and duration of antiretroviral therapy [ART]).Conclusion: This study provides valuable scientific data on the prevalence and spectrum of mucocutaneous disease in PLWH attending a South African district-level hospital. Prospective studies conducted in other district-level centres across the country are required to determine the lifetime prevalence and spectrum of dermatoses in PLWH in the ART era. | |
| Publisher | AOSIS | |
| Date | 2020-12-10 | |
| Identifier | 10.4102/sajhivmed.v21i1.1154 | |
| Source | Southern African Journal of HIV Medicine; Vol 21, No 1 (2020); 7 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/1154/2125
https://sajhivmed.org.za/index.php/hivmed/article/view/1154/2124
https://sajhivmed.org.za/index.php/hivmed/article/view/1154/2126
https://sajhivmed.org.za/index.php/hivmed/article/view/1154/2123
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