Review Article

Recognition of Dual or Multiple Pathology in Skin Biopsies from Patients with HIV/AIDS

Table 1

Overview of the potential spectrum of dual or multiple pathology in skin biopsies from patients with HIV/AIDS.

PathologyReference(s)

Dual noninfective dermatoses
 PPE & nodular prurigo[1, 6]
 Papular mucinosis & eczematous
 dermatitis
[1, 68]

Dual infections
 HSV & CMV[911]
 BA & CMV[12]
 Mucormycosis & CMV[13]
 Acanthamoebiasis & CMVU
 Pneumocystosis & S. aureus
 (botryomycosis)
[18]
 Pneumocystosis & cryptococcosis[19]
 MAI & BA[5, 20]

Dual infective and noninfective dermatoses
 Histoplasmosis & erythema multiformeU
 Folliculitis & interface dermatitisU

Neoplasia in association with infection
 KS & cryptococcosis[3, 4, 2325]
 KS & Histoplasma capsulatum infection[28]
 KS & Candida infection[29]
 KS & MAI infection[3335]
 KS & Tb[3, 37]
 KS & CMV[3, 38]
 KS & molluscum contagiosum[3, 40]
 NHL & MAI infection[35]
 (KS & BA*)[30, 32]

Neoplasia in association with noninfective dermatoses
 KS & incidental interface dermatitis[1, 6]
 KS & acquired ichthyosis[41]

Dual neoplastic lesions
 KS & penile squamous cell carcinoma in situ [41]

Multiple pathology
 MAI infection, KS, & cryptococcosis[26]
 BA, MAI, & CMV[47, 48]
 MAI & CMV & Tb[49]
S. aureus, CMV, & Mycobacterium spp.[50]
 VZV infection, LCV, & KS[1]

PPE: pruritic papular eruption of HIV; HSV: herpes simplex virus; CMV: cytomegalovirus; BA: bacillary angiomatosis; U: hitherto unreported; MAI: Mycobacterium avium-intracellulare complex; S. aureus: Staphylococcus aureus; Tb: Mycobacterium tuberculosis; KS: Kaposi sarcoma; NHL: non-Hodgkin lymphoma; VZV: varicella-zoster virus; LCV: leucocytoclastic vasculitis.
*Recorded concurrently in the same patient, but not in the same histological specimen.