HIV diagnosis in a patient presenting with vasculitis

Int J STD AIDS. 2016 Feb;27(2):152-4. doi: 10.1177/0956462415575947. Epub 2015 Mar 12.

Abstract

A patient with digital ischaemia and gangrene was treated with iloprost and antiplatelets for two weeks. His vasculitic screen was negative except for a positive HIV test. His vasculitis improved three weeks after treatment with antiretroviral medications. Though vasculitis is well known to be associated with HIV infection, very few cases of HIV present as vasculitis.

Keywords: AIDS; Europe; HIV; antiretroviral therapy; heterosexual; treatment; vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Anti-Retroviral Agents / therapeutic use
  • Female
  • Fingers / pathology
  • Gangrene / drug therapy*
  • Gangrene / pathology
  • Gangrene / virology
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • Humans
  • Iloprost / therapeutic use*
  • Male
  • Treatment Outcome
  • Vasculitis / complications*
  • Vasculitis / drug therapy

Substances

  • Anti-Retroviral Agents
  • Iloprost