Itchy folliculitis and human immunodeficiency virus infection: clinicopathological and immunological features, pathogenesis and treatment
The predominant itchy folliculitis associated with human immunodeficiency virus (HIV) infection appears to be an eosinophilic folliculitis (EF). This is characterized by lytic degeneration of sebaceous glands and an inflammatory infiltrate in which eosinophils and CD8+ T lymphocytes predominate. All...
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| Published in | British journal of dermatology (1951) Vol. 141; no. 1; pp. 3 - 11 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford BSL
Blackwell Publishing Ltd
01.07.1999
Blackwell |
| Subjects | |
| Online Access | Get full text |
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| Abstract | The predominant itchy folliculitis associated with human immunodeficiency virus (HIV) infection appears to be an eosinophilic folliculitis (EF). This is characterized by lytic degeneration of sebaceous glands and an inflammatory infiltrate in which eosinophils and CD8+ T lymphocytes predominate. All patients have low CD4 counts and present late on in their HIV disease. Lesional distribution is mainly truncal, with a significant proportion also having facial involvement. Our prospective survey has shown that it is impossible to differentiate clinically between infective folliculitis and EF, and we recommend therefore that all cases are biopsied. We review the clinicopathological and immunological aspects of HIV‐associated itchy folliculitis, in particular HIV‐associated EF as well as current theories on pathogenesis and treatment. We suggest that HIV‐associated EF is an autoimmune disease with the sebocyte or some constituent of sebum acting as the autoantigen. |
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| AbstractList | The predominant itchy folliculitis associated with human immunodeficiency virus (HIV) infection appears to be an eosinophilic folliculitis (EF). This is characterized by lytic degeneration of sebaceous glands and an inflammatory infiltrate in which eosinophils and CD8+ T lymphocytes predominate. All patients have low CD4 counts and present late on in their HIV disease. Lesional distribution is mainly truncal, with a significant proportion also having facial involvement. Our prospective survey has shown that it is impossible to differentiate clinically between infective folliculitis and EF, and we recommend therefore that all cases are biopsied. We review the clinicopathological and immunological aspects of HIV‐associated itchy folliculitis, in particular HIV‐associated EF as well as current theories on pathogenesis and treatment. We suggest that HIV‐associated EF is an autoimmune disease with the sebocyte or some constituent of sebum acting as the autoantigen. |
| Author | Bunker Fearfield Francis Staughton Rowe |
| Author_xml | – sequence: 1 givenname: L. A surname: FEARFIELD fullname: FEARFIELD, L. A organization: Department of Dermatology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom – sequence: 2 givenname: A surname: ROWE fullname: ROWE, A organization: START Laboratory, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom – sequence: 3 givenname: N surname: FRANCIS fullname: FRANCIS, N organization: Department of Histopathology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom – sequence: 4 givenname: C. B surname: BUNKER fullname: BUNKER, C. B organization: Department of Dermatology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom – sequence: 5 givenname: R. C. D surname: STAUGHTON fullname: STAUGHTON, R. C. D organization: Department of Dermatology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom |
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| Keywords | Human Immunopathology Opportunistic infection Skin disease Pathogenesis AIDS Folliculitis Review Immune deficiency Infection Pathology Symptomatology Treatment Viral disease |
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| SubjectTerms | AIDS-Related Opportunistic Infections - drug therapy AIDS-Related Opportunistic Infections - etiology AIDS-Related Opportunistic Infections - pathology AIDS/HIV autoimmune disease Autoimmune Diseases - pathology Biological and medical sciences clinical features Dermatomycoses - complications Dermatomycoses - pathology Diagnosis, Differential Eosinophilia - drug therapy Eosinophilia - immunology Eosinophilia - pathology eosinophilic folliculitis Female Folliculitis - drug therapy Folliculitis - immunology Folliculitis - pathology histopathology human immunodeficiency virus Human viral diseases Humans Immunocompromised Host Infectious diseases Malassezia Male Medical sciences Mite Infestations - complications Mite Infestations - pathology Sebum - immunology Skin - microbiology Skin - parasitology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| Title | Itchy folliculitis and human immunodeficiency virus infection: clinicopathological and immunological features, pathogenesis and treatment |
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