以红皮病为首发症状的艾滋病一例

AIDS with erythroderma as the first symptom:a case report

患者,男,40岁。全身皮肤潮红、脱屑伴瘙痒1个月。患者既往无湿疹、银屑病病史。查体:全身弥漫性潮红,表面覆盖黄白色细碎鳞屑,口周、眼周可见裂隙伴渗出,双足背覆盖袜套样黄色、褐色样鳞屑,可见痂样结构。HIV抗体初筛及确诊试验阳性。诊断为艾滋病、红皮病。

A 40-year-old male presented with a 1-month body rash with pruritus.Denied eczema,psoriasis history.Diffuse flushing all over the body,the surface covered with yellow-white fine scales,fissures with exudation can be seen around the mouth and eyes,and the dorsum of the feet were covered with sock-like yellow and brown scales,and scab-like structures were seen.HIV antibody primary screening and confirmatory tests were positive.The diagnosis of AIDS with erythroderma was made.