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艾滋病皮肤表现 Cutaneous Manifestation of AIDS
艾滋病即获得性免疫缺陷综合征,病原体为人类免疫缺陷病毒(human immunodeficiency virus,HIV)。 艾滋病与同性恋、静脉用毒品有关,常与性病伴发。
诊断要点:
患者常消瘦,可呈恶液质状。皮肤表现多种多样,大多缺乏特异性。具有特征性的皮肤损害是卡波西肉瘤,为呈紫红色的斑丘疹或斑块,常多发,可全身散在分布,也可见于口腔黏膜。由于患者免疫功能低下,可发生各种感染,如口腔白念珠菌感染、口腔毛状黏膜白斑病、隐球菌感染。皮肤痒疹及结节痒疹样改变是常见的皮疹,还可见黑变病样改变、鱼鳞病样改变等。浅表淋巴结可肿大。对疑诊病例应做血清学检查,确诊应到国家指定的医疗卫生机构。
治疗要点:
一是针对HIV病毒,可服用核苷类反转录酶抑制剂、非核苷类反转录酶抑制剂、蛋白酶抑制剂、膜融合抑制剂和整合酶抑制剂,常采用联合用药;二是针对感染的病原体;三是提高机体的免疫力或抵抗力。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-1_13602.jpg?sign=1739050080-sXUjuDdoXeSqHD8VJplY8b8zkmzpAf5A-0-ec622b437d5370695671f46904794e82)
图5-7-1 艾滋病 恶液质
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-2_13603.jpg?sign=1739050080-pJjLc8aZCYFIjRWtbNla0yXsN3uvKPEo-0-ba177eefb9ba0e4ed1053843082ca313)
图5-7-2 艾滋病 恶液质
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-3_13604.jpg?sign=1739050080-t11hqQqiS7HEfCigeacuYirEX8yRkC31-0-6ffe6da2890aecd60dd67c0c73d56d39)
图5-7-3 艾滋病 卡波西肉瘤
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-4_13605.jpg?sign=1739050080-0Ky47LVxXDDh8gos6KkTGCW4Bf25u0pM-0-3d761a10b30cbb1587fc0a1858ba3ccc)
图5-7-4 艾滋病 口腔毛状黏膜白斑病
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-5_13606.jpg?sign=1739050080-XG260OYoGzPvopox1qWgYLzWuPT9UUga-0-2d711375c82303eec7363c02b5c613b4)
图5-7-5 艾滋病 白念珠菌感染
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-6_13607.jpg?sign=1739050080-QRCvmy1vvEHn4ZmTKc5f0Ia7prUHck9e-0-10f7649d6f3f11c8b2537705bb860467)
图5-7-6 艾滋病 隐球菌感染
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-7_13608.jpg?sign=1739050080-IY6KHTyZhunrjJDj5coC4XUO4ZNBlHc3-0-037ba62f149adcd77b21bb62a51e826b)
图5-7-7 艾滋病 皮肤痒疹及结节痒疹样改变
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-8_13609.jpg?sign=1739050080-LFTPnilg8zv2yYmhzsj5QF7pwP17wJiN-0-d1896dd434e0b7fbfb1b98d158035497)
图5-7-8 艾滋病 皮肤痒疹及结节痒疹样改变
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-9_13610.jpg?sign=1739050080-InH1W2JEnFPlCkb2vgbTPIjoeCQSaQtp-0-be6bd0d5f4bd5f2a8026ee84db8be3f1)
图5-7-9 艾滋病 黑变病样改变
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P5-7-10_13611.jpg?sign=1739050080-oWexXa6APO6PfxzyHYWN4BBFXW8gVxGN-0-da1b26aac1d75707663eba66d360cee9)
图5-7-10 艾滋病 鱼鳞病样改变