Acute exanthem and pancreatic panniculitis in a patient with primary HIV infection and haemophagocytic syndrome
Summary We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis‐like illness that included a rash on the upper trunk and limbs, and oral ulceration. The patient developed a Hemophagocytic syndrome with severe systemic in...
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| Published in: | British journal of dermatology (1951) Vol. 134; no. 4; pp. 804 - 807 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Oxford, UK
Blackwell Publishing Ltd
01-04-1996
Blackwell |
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| Abstract | Summary
We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis‐like illness that included a rash on the upper trunk and limbs, and oral ulceration. The patient developed a Hemophagocytic syndrome with severe systemic involvement. Three weeks after the initial presentation, lesions of a pancreatic panniculitis appeared on both legs. |
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| AbstractList | Summary
We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis‐like illness that included a rash on the upper trunk and limbs, and oral ulceration. The patient developed a Hemophagocytic syndrome with severe systemic involvement. Three weeks after the initial presentation, lesions of a pancreatic panniculitis appeared on both legs. We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis-like illness that included a rash on the upper trunk and limbs, and oral ulceration. The patient developed a haemophagocytic syndrome with severe systemic involvement. Three weeks after the initial presentation, lesions of a pancreatic panniculitis appeared on both legs. |
| Author | ALIAGA, A. NAVARRO, V. MARTÍNEZ-ESCRIBANO, J.A. PEDRO, F. SABATER, V. QUECEDO, E. |
| Author_xml | – sequence: 1 givenname: J.A. surname: MARTÍNEZ-ESCRIBANO fullname: MARTÍNEZ-ESCRIBANO, J.A. organization: Department of Dermatology, Hospital General Valencia, Spain – sequence: 2 givenname: F. surname: PEDRO fullname: PEDRO, F. organization: Department of Internal Medicine, Hospital General Valencia, Spain – sequence: 3 givenname: V. surname: SABATER fullname: SABATER, V. organization: Department of Pathology, Hospital General Valencia, Spain – sequence: 4 givenname: E. surname: QUECEDO fullname: QUECEDO, E. organization: Department of Dermatology, Hospital General Valencia, Spain – sequence: 5 givenname: V. surname: NAVARRO fullname: NAVARRO, V. organization: Department of Internal Medicine, Hospital General Valencia, Spain – sequence: 6 givenname: A. surname: ALIAGA fullname: ALIAGA, A. organization: Department of Dermatology, Hospital General Valencia, Spain |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3055125$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/8733398$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1111/j.1365-2141.1991.tb08025.x 10.1001/archderm.1992.01680120065005 10.1001/archinte.1988.00380040185026 10.1136/jcp.41.7.711 10.1002/1097-0142(197909)44:3<993::AID-CNCR2820440329>3.0.CO;2-5 10.1016/0190-9622(90)70245-D 10.1016/0002-9343(84)90695-8 10.1016/0140-6736(90)92601-D 10.1136/bmj.297.6660.1363 10.1016/S0140-6736(85)91205-X 10.1097/00005792-198811000-00002 10.1016/S0163-4453(90)92390-7 10.1093/clinids/17.1.59 10.1111/j.1365-2133.1986.tb05771.x 10.1016/S0248-8663(10)80025-6 10.1016/S0190-9622(87)70159-5 |
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| Issue | 4 |
| Keywords | Human Immunopathology Skin disease Acute Exanthema Panniculitis AIDS Immune deficiency Infection Case study Pathology Viral disease Digestive diseases Adipose tissue disorders Pancreatic disease |
| Language | English |
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| References | Pellegrin JL. Merlio JP. Barbeau P. et al. Syndrome d'activation macrophagique avec hémophagocytose au cours de I'infection par le virus de I'immunodéficience humaine. Rev Med Interne 1992: 13: 438 - 40. Spivak, JL. Bender, BS. Quinn, TC. Hematologic abnormalities in the acquired immune deficiency syndrome. Am J Med 1984: 77:224 - 8. García JD. Guillén V. Alonso F. Síndrome hemofagocítico recurrente e infección por virus de la inmunodeficiencia humana. Med Clin (Barc) 1989: 91: 359. Cooper DA, Cold J, MacLean P et al. Acute AIDS retrovirus infection: definition of a clinical illness associated with seroconversion. Lancet 1985; i: 537 - 40. Rico MJ. Kory WP. Gould EW. Penneys NS. Interface dermatitis in patients with the acquired immunodeficiency syndrome. J Am Acad Dermatol 1987: 16: 1209 - 18. Rule S, Reed C. Costello C. Fatal haemophagocytic syndromes in HIV-antibody positive patient. Br J Haematol 1991: 79: 127. Costello, C. Haematological abnormalities in human immuno-deficiency virus (HIV) disease. J Clin Pathol 1988; 41: 711 - 15. Kinloch-de Loës S. de Saussure P. Surat JH. et al. Symptomatic primary infection due to human immunodeficiency virus type 1:review of 31 cases. Clin Infect Dis 1993: 17: 59 - 65. Menárguez, A. Tardio, JC. Rábano, A et al. Sindrome hemofagocitico asociado a virus y sindrome de inmunodeficiencia adquirida. Med Clin (Bare) 1988: 90: 506 - 8. Tindall B. Barker S. Donovan B. et al. Characterization of the acute clinical illness associated with human immunodeficiency virus infection. Arch Intern Med 1988: 148: 945 - 9. Smith KJ. Skelton HG. Yeager J. et al. Cutaneous histopathologic immunohistochemical and clinical manifestations in patients with hemophagocytic syndrome. Arch Dermatol 1992: 128: 193 - 200. Lortholary A. Raffi F. Aubertin P. et al. HIV-associated haemophagocytic syndrome Lancet 1990; i: 1128. Risdall, RJ. McKenna, RW, Nesbit, ME et al. Virus associated hemophagocytic syndrome: a benign histiocytic proliferation distinct from malignant histiocytosis. Cancer 1979: 44: 993 - 1002. Games H. Von Sydow M., Pehrson PO. Lundbergh P. Clinical picture of primary HIV infection presenting as a glandular-fever-like illness, Br Med J 1988: 297: 1363 - 8. Sasadeusz J. Buchanan M. Speed B. Reactive haemophagocytic syndrome in human immunodeficiency virus infection. J Infect 1990: 20: 65 - 8. Wantzin GRL. Lindhardt BO. Weismann K. Ulrich K. Acute HTLV-III infection associated with exanthema, diagnosed by seroconversion. Br J Dermatol 1986: 115: 601 - 6. Hulseboch HJ. Claessen FAP. van Ginkel CJW. et al. Human immunodeficiency virus exanthem, J Am Acad Dermatol 1990;23: 483 - 6. Reiner, AP, Spivak, JL. Hematophagic histiocytosis. A report of 23 new patient and a review of the literature. Medicine 1988: 67:369 - 88. 1990; 20 1990; 23 1993; 17 1986; 115 1991; 79 1990; i 1989; 91 1984; 77 1992; 128 1988; 67 1988; 297 1992; 13 1988; 41 1988; 90 1979; 44 1985; i 1988; 148 1987; 16 Risdall (10.1046/j.1365-2133.1996.102815.x-BIB7|cit7) 1979; 44 Lortholary (10.1046/j.1365-2133.1996.102815.x-BIB14|cit14) 1990; i Cooper (10.1046/j.1365-2133.1996.102815.x-BIB1|cit1) 1985; i Kinloch-de Loës (10.1046/j.1365-2133.1996.102815.x-BIB6|cit6) 1993; 17 Rule (10.1046/j.1365-2133.1996.102815.x-BIB11|cit11) 1991; 79 Sasadeusz (10.1046/j.1365-2133.1996.102815.x-BIB15|cit15) 1990; 20 Menárguez (10.1046/j.1365-2133.1996.102815.x-BIB12|cit12) 1988; 90 Smith (10.1046/j.1365-2133.1996.102815.x-BIB17|cit17) 1992; 128 Spivak (10.1046/j.1365-2133.1996.102815.x-BIB9|cit9) 1984; 77 Games (10.1046/j.1365-2133.1996.102815.x-BIB2|cit2) 1988; 297 García (10.1046/j.1365-2133.1996.102815.x-BIB13|cit13) 1989; 91 Rico (10.1046/j.1365-2133.1996.102815.x-BIB18|cit18) 1987; 16 Wantzin (10.1046/j.1365-2133.1996.102815.x-BIB5|cit5) 1986; 115 Costello (10.1046/j.1365-2133.1996.102815.x-BIB10|cit10) 1988; 41 Hulseboch (10.1046/j.1365-2133.1996.102815.x-BIB4|cit4) 1990; 23 Reiner (10.1046/j.1365-2133.1996.102815.x-BIB8|cit8) 1988; 67 Pellegrin (10.1046/j.1365-2133.1996.102815.x-BIB16|cit16) 1992; 13 Tindall (10.1046/j.1365-2133.1996.102815.x-BIB3|cit3) 1988; 148 |
| References_xml | – volume: i start-page: 537 year: 1985 end-page: 40 article-title: Acute AIDS retrovirus infection: definition of a clinical illness associated with seroconversion publication-title: Lancet – volume: 115 start-page: 601 year: 1986 end-page: 6 article-title: Acute HTLV‐III infection associated with exanthema, diagnosed by seroconversion publication-title: Br J Dermatol – volume: 67 start-page: 369 year: 1988 end-page: 88 article-title: Hematophagic histiocytosis. A report of 23 new patient and review of the literature publication-title: Medicine – volume: 20 start-page: 65 year: 1990 end-page: 8 article-title: Reactive haemophagocytic syndrome in human immunodeficiency virus infection publication-title: J Infect – volume: 90 start-page: 506 year: 1988 end-page: 8 article-title: Sindrome hemofagocitico asociado a virus y sindrome de inmunodeficiencia adquirida publication-title: Med Clin (Bare – volume: 148 start-page: 945 year: 1988 end-page: 9 article-title: Characterization of the acute clinical illness associated with human immunodeficiency virus infection publication-title: Arch Intern Med – volume: 297 start-page: 1363 year: 1988 end-page: 8 article-title: Clinical picture of primary HIV infection presenting as a glandular‐fever‐like illness publication-title: Br Med J – volume: 23 start-page: 483 year: 1990 end-page: 6 article-title: Human immunodeficiency virus exanthem publication-title: J Am Acad Dermatol – volume: 17 start-page: 59 year: 1993 end-page: 65 article-title: Symptomatic primary infection due to human immunodeficiency virus type 1:review of 31 cases publication-title: Clin Infect Dis – volume: 77 start-page: 224 year: 1984 end-page: 8 article-title: Hematologic abnormalities in the acquired immune deficiency syndrome publication-title: Am J Med – volume: 13 start-page: 438 year: 1992 end-page: 40 article-title: Syndrome d'activation macrophagique avec hémophagocytose au cours de I'infection par le virus de I'immunodéficience humaine publication-title: Rev Med Interne – volume: 128 start-page: 193 year: 1992 end-page: 200 article-title: Cutaneous histopathologic immunohistochemical and clinical manifestations in patients with hemophagocytic syndrome publication-title: Arch Dermatol – volume: 44 start-page: 993 year: 1979 end-page: 1002 article-title: Virus associated hemophagocytic syndrome: a benign histiocytic proliferation distinct from malignant histiocytosis publication-title: Cancer – volume: 41 start-page: 711 year: 1988 end-page: 15 article-title: Haematological abnormalities in human immuno‐deficiency virus (HIV) disease publication-title: J Clin Pathol – volume: 79 start-page: 127 year: 1991 article-title: Fatal haemophagocytic syndromes in HIV‐antibody positive patient publication-title: Br J Haematol – volume: i start-page: 1128 year: 1990 article-title: HIV‐associated haemophagocytic syndrome publication-title: Lancet – volume: 91 start-page: 359 year: 1989 article-title: Síndrome hemofagocítico recurrente e infección por virus de la inmunodeficiencia humana publication-title: Med Clin (Barc – volume: 16 start-page: 1209 year: 1987 end-page: 18 article-title: Interface dermatitis in patients with the acquired immunodeficiency syndrome publication-title: J Am Acad Dermatol – volume: 79 start-page: 127 year: 1991 ident: 10.1046/j.1365-2133.1996.102815.x-BIB11|cit11 article-title: Fatal haemophagocytic syndromes in HIV-antibody positive patient publication-title: Br J Haematol doi: 10.1111/j.1365-2141.1991.tb08025.x contributor: fullname: Rule – volume: 128 start-page: 193 year: 1992 ident: 10.1046/j.1365-2133.1996.102815.x-BIB17|cit17 article-title: Cutaneous histopathologic immunohistochemical and clinical manifestations in patients with hemophagocytic syndrome publication-title: Arch Dermatol doi: 10.1001/archderm.1992.01680120065005 contributor: fullname: Smith – volume: 148 start-page: 945 year: 1988 ident: 10.1046/j.1365-2133.1996.102815.x-BIB3|cit3 article-title: Characterization of the acute clinical illness associated with human immunodeficiency virus infection publication-title: Arch Intern Med doi: 10.1001/archinte.1988.00380040185026 contributor: fullname: Tindall – volume: 41 start-page: 711 year: 1988 ident: 10.1046/j.1365-2133.1996.102815.x-BIB10|cit10 article-title: Haematological abnormalities in human immuno-deficiency virus (HIV) disease publication-title: J Clin Pathol doi: 10.1136/jcp.41.7.711 contributor: fullname: Costello – volume: 44 start-page: 993 year: 1979 ident: 10.1046/j.1365-2133.1996.102815.x-BIB7|cit7 article-title: Virus associated hemophagocytic syndrome: a benign histiocytic proliferation distinct from malignant histiocytosis publication-title: Cancer doi: 10.1002/1097-0142(197909)44:3<993::AID-CNCR2820440329>3.0.CO;2-5 contributor: fullname: Risdall – volume: 23 start-page: 483 year: 1990 ident: 10.1046/j.1365-2133.1996.102815.x-BIB4|cit4 article-title: Human immunodeficiency virus exanthem publication-title: J Am Acad Dermatol doi: 10.1016/0190-9622(90)70245-D contributor: fullname: Hulseboch – volume: 77 start-page: 224 year: 1984 ident: 10.1046/j.1365-2133.1996.102815.x-BIB9|cit9 article-title: Hematologic abnormalities in the acquired immune deficiency syndrome publication-title: Am J Med doi: 10.1016/0002-9343(84)90695-8 contributor: fullname: Spivak – volume: i start-page: 1128 year: 1990 ident: 10.1046/j.1365-2133.1996.102815.x-BIB14|cit14 article-title: HIV-associated haemophagocytic syndrome publication-title: Lancet doi: 10.1016/0140-6736(90)92601-D contributor: fullname: Lortholary – volume: 297 start-page: 1363 year: 1988 ident: 10.1046/j.1365-2133.1996.102815.x-BIB2|cit2 article-title: Clinical picture of primary HIV infection presenting as a glandular-fever-like illness publication-title: Br Med J doi: 10.1136/bmj.297.6660.1363 contributor: fullname: Games – volume: 90 start-page: 506 year: 1988 ident: 10.1046/j.1365-2133.1996.102815.x-BIB12|cit12 article-title: Sindrome hemofagocitico asociado a virus y sindrome de inmunodeficiencia adquirida publication-title: Med Clin (Bare contributor: fullname: Menárguez – volume: i start-page: 537 year: 1985 ident: 10.1046/j.1365-2133.1996.102815.x-BIB1|cit1 article-title: Acute AIDS retrovirus infection: definition of a clinical illness associated with seroconversion publication-title: Lancet doi: 10.1016/S0140-6736(85)91205-X contributor: fullname: Cooper – volume: 67 start-page: 369 year: 1988 ident: 10.1046/j.1365-2133.1996.102815.x-BIB8|cit8 article-title: Hematophagic histiocytosis. A report of 23 new patient and a review of the literature publication-title: Medicine doi: 10.1097/00005792-198811000-00002 contributor: fullname: Reiner – volume: 20 start-page: 65 year: 1990 ident: 10.1046/j.1365-2133.1996.102815.x-BIB15|cit15 article-title: Reactive haemophagocytic syndrome in human immunodeficiency virus infection publication-title: J Infect doi: 10.1016/S0163-4453(90)92390-7 contributor: fullname: Sasadeusz – volume: 17 start-page: 59 year: 1993 ident: 10.1046/j.1365-2133.1996.102815.x-BIB6|cit6 article-title: Symptomatic primary infection due to human immunodeficiency virus type 1:review of 31 cases publication-title: Clin Infect Dis doi: 10.1093/clinids/17.1.59 contributor: fullname: Kinloch-de Loës – volume: 115 start-page: 601 year: 1986 ident: 10.1046/j.1365-2133.1996.102815.x-BIB5|cit5 article-title: Acute HTLV-III infection associated with exanthema, diagnosed by seroconversion publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1986.tb05771.x contributor: fullname: Wantzin – volume: 91 start-page: 359 year: 1989 ident: 10.1046/j.1365-2133.1996.102815.x-BIB13|cit13 article-title: Síndrome hemofagocítico recurrente e infección por virus de la inmunodeficiencia humana publication-title: Med Clin (Barc contributor: fullname: García – volume: 13 start-page: 438 year: 1992 ident: 10.1046/j.1365-2133.1996.102815.x-BIB16|cit16 article-title: Syndrome d'activation macrophagique avec hémophagocytose au cours de I'infection par le virus de I'immunodéficience humaine publication-title: Rev Med Interne doi: 10.1016/S0248-8663(10)80025-6 contributor: fullname: Pellegrin – volume: 16 start-page: 1209 year: 1987 ident: 10.1046/j.1365-2133.1996.102815.x-BIB18|cit18 article-title: Interface dermatitis in patients with the acquired immunodeficiency syndrome publication-title: J Am Acad Dermatol doi: 10.1016/S0190-9622(87)70159-5 contributor: fullname: Rico |
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We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis‐like illness... We report a patient with an acute infection with the human immunodeficiency virus (HIV), who initially presented due to a mononucleosis-like illness that... |
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| SubjectTerms | Acute Disease Adult AIDS/HIV Biological and medical sciences Exanthema - etiology Exanthema - pathology Histiocytosis, Non-Langerhans-Cell - etiology HIV Infections - complications Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Male Medical sciences Pancreatitis - etiology Panniculitis - etiology Panniculitis - pathology Skin Diseases, Viral - etiology Skin Diseases, Viral - pathology |
| Title | Acute exanthem and pancreatic panniculitis in a patient with primary HIV infection and haemophagocytic syndrome |
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