Skip to main content
Top
Published in: BMC Dermatology 1/2013

Open Access 01-12-2013 | Research article

The pattern of mucocutaneous disorders in HIV infected children attending care and treatment in Tikur Anbesa specialized hospital, Addis Ababa, Ethiopia

Authors: Yichalal Endayehu, Amha Mekasha, Firehiwot Daba

Published in: BMC Dermatology | Issue 1/2013

Login to get access

Abstract

Background

Children with HIV infection may develop a wide variety of infectious and inflammatory diseases of the skin. These disorders are often more severe and more difficult to treat than in the immunocompetent child. In some cases, disorders of the skin or mucous membranes may provide an early clue to the presence of pediatric HIV infection.

Methods

It is a descriptive cross-sectional study which was conducted at the pediatric infectious disease unit, department of pediatrics and child health, Tikur Anbesa specialized Hospital. Clinical information was collected using a questionnaire. The data was analyzed using SSPS 16.0 version. Chi-squared was utilized where appropriate and a p-value of less than 0.05 was considered statistically significant.

Results

Two hundred seventy HIV infected children were recruited in this study. Out of these females were 51.5% and males were 48.5%. Most of the children 196/270 (72.6%) were suffering from one or more mucocutanous disorders. The most prevalent mucocutanous disorders were infectious dermatosis. Overall, mucocutaneous disorders were more prevalent in advanced stages of HIV disease P < 0.001. Two or more mucocutanous disorders were found in moderate and sever immunosuppression. Seventy three percent of the HIV-infected children with mucocutaneous disorders were already on HAART.

Conclusions

The prevalence of mucocutanous disorders is high in HIV infected children. Advanced immunosuppression is highly associated with a wide spectrum of mucocutanous disorders.
Appendix
Available only for authorised users
Literature
1.
go back to reference UNAIDS/WHO: AIDS epidemic update: December 2007 UNAIDS/07.27E, JC1 322E. Geneva: UNAIDS; 2007. UNAIDS/WHO: AIDS epidemic update: December 2007 UNAIDS/07.27E, JC1 322E. Geneva: UNAIDS; 2007.
4.
go back to reference Dlova N, Mosam A: Cutaneous manifestations of HIV/AIDS: part 1. South Afr J HIV Med 2004, 5: 12–17. Dlova N, Mosam A: Cutaneous manifestations of HIV/AIDS: part 1. South Afr J HIV Med 2004, 5: 12–17.
5.
go back to reference Panya MF, Mgonda YM, Massawe AW: The pattern of mucocutaneous disorders in HIV-infected children attending care and treatment centres in Dar es Salaam, Tanzania. BMC Public Health 2009, 9: 234–241.CrossRefPubMedPubMedCentral Panya MF, Mgonda YM, Massawe AW: The pattern of mucocutaneous disorders in HIV-infected children attending care and treatment centres in Dar es Salaam, Tanzania. BMC Public Health 2009, 9: 234–241.CrossRefPubMedPubMedCentral
6.
go back to reference Montri U, Tarunotai U: Cutaneous manifestations in children with HIV infection. A 5-year study in Vachira Hospital. Thai J Dermatol 2001, 17: 167–174. Montri U, Tarunotai U: Cutaneous manifestations in children with HIV infection. A 5-year study in Vachira Hospital. Thai J Dermatol 2001, 17: 167–174.
7.
go back to reference Josephine M, Issac E, George A, Ngole M, Albert SE: Patterns of skin manifestations and their relationships with CD4 counts among HIV/AIDS patients in Cameroon. Int J Dermatol 2006,45(3):280–284.CrossRefPubMed Josephine M, Issac E, George A, Ngole M, Albert SE: Patterns of skin manifestations and their relationships with CD4 counts among HIV/AIDS patients in Cameroon. Int J Dermatol 2006,45(3):280–284.CrossRefPubMed
8.
go back to reference Seoane RE, Bellon JM, Gorbindo D, et al.: Role of antiretroviral therapy in mucocutaneous manifestations in HIV infected children over a period of two decades. Br J Dermatol 2005, 153: 382–389.CrossRef Seoane RE, Bellon JM, Gorbindo D, et al.: Role of antiretroviral therapy in mucocutaneous manifestations in HIV infected children over a period of two decades. Br J Dermatol 2005, 153: 382–389.CrossRef
9.
go back to reference Luminus LM, Mardaresu M, Petrea S, et al.: Cutaneous disorders in HIV infected children. Int Conf AIDS 1998, 12: 574. Abstract No 32273[17] Luminus LM, Mardaresu M, Petrea S, et al.: Cutaneous disorders in HIV infected children. Int Conf AIDS 1998, 12: 574. Abstract No 32273[17]
10.
go back to reference Wananukul S, Deekajorndech T, Panchareon C, Thisyakorn U: Mucocutaneous findings in pediatric AIDS related to degree of immunosuppression. Pediatr Dermatol 2003, 20: 289–294.CrossRefPubMed Wananukul S, Deekajorndech T, Panchareon C, Thisyakorn U: Mucocutaneous findings in pediatric AIDS related to degree of immunosuppression. Pediatr Dermatol 2003, 20: 289–294.CrossRefPubMed
11.
go back to reference Mendiratta V, Mittal S, Jain A, Chander R: Mucocutaneous manifestations in children with human immunodeficiency virus infection. Indian J Dermatol Venereol Leprol 2010, 76: 458–466.CrossRefPubMed Mendiratta V, Mittal S, Jain A, Chander R: Mucocutaneous manifestations in children with human immunodeficiency virus infection. Indian J Dermatol Venereol Leprol 2010, 76: 458–466.CrossRefPubMed
12.
go back to reference Biadgilign S, Deribew A, Amberbir A, Deribe K: Adherence to highly active antiretroviral therapy and its correlates among HIV infected pediatric patients in Ethiopia. BMC Pediatr 2008,8(1):53.CrossRefPubMedPubMedCentral Biadgilign S, Deribew A, Amberbir A, Deribe K: Adherence to highly active antiretroviral therapy and its correlates among HIV infected pediatric patients in Ethiopia. BMC Pediatr 2008,8(1):53.CrossRefPubMedPubMedCentral
13.
go back to reference Srikanth KP, Vijayakumar S, Aparna , Mallikarjun : A hospital based cross sectional study of mucocutaneous manifestations in the HIV infected. Int J Collab Res Internal Med Public Health 2010,2(3):50–78. Srikanth KP, Vijayakumar S, Aparna , Mallikarjun : A hospital based cross sectional study of mucocutaneous manifestations in the HIV infected. Int J Collab Res Internal Med Public Health 2010,2(3):50–78.
14.
go back to reference Donic I, Vesic S, Jertoric DJ: Oral candidosis and seborrheic dermatitis in HIV infected patients on highly active antiretroviral therapy. HIV Med 2004, 5: 50–54.CrossRef Donic I, Vesic S, Jertoric DJ: Oral candidosis and seborrheic dermatitis in HIV infected patients on highly active antiretroviral therapy. HIV Med 2004, 5: 50–54.CrossRef
Metadata
Title
The pattern of mucocutaneous disorders in HIV infected children attending care and treatment in Tikur Anbesa specialized hospital, Addis Ababa, Ethiopia
Authors
Yichalal Endayehu
Amha Mekasha
Firehiwot Daba
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Dermatology / Issue 1/2013
Electronic ISSN: 1471-5945
DOI
https://doi.org/10.1186/1471-5945-13-12

Other articles of this Issue 1/2013

BMC Dermatology 1/2013 Go to the issue