Disseminated-to-Skin Kala-azar and the Acquired Immunodeficiency Syndrome
Authors: Miguel Yebra, Javier Segovia, Luis Manzano, Juan A. Vargas, Luis Bernaldo De Quirós, Jorge Alvar
Journal: Annals of Internal Medicine (1988)

Letters and Corrections1 March 1988Disseminated-to-Skin Kala-azar and the Acquired Immunodeficiency SyndromeMIGUEL YEBRA, M.D., JAVIER SEGOVIA, M.D., LUIS MANZANO, M.D., JUAN A. VARGAS, M.D., LUIS BERNALDO DE QUIRÓS, M.D., JORGE ALVAR, M.D.MIGUEL YEBRA, M.D.Search for more papers by this author, JAVIER SEGOVIA, M.D.Search for more papers by this author, LUIS MANZANO, M.D.Search for more papers by this author, JUAN A. VARGAS, M.D.Search for more papers by this author, LUIS BERNALDO DE QUIRÓS, M.D.Search for more papers by this author, JORGE ALVAR, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-3-490_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The worldwide spread of infection with the human immunodeficiency virus (HIV) may modify the usual expression of regional endemic diseases. Conversely, those atypical forms may enlarge the spectrum of the acquired immunodeficiency syndrome (AIDS).A 37-year-old Spanish homosexual man was hospitalized in October 1986 with leukopenia. His leukocyte count was 2.2 X 109/L, with 43% lymphocytes. The patient was seropositive to HIV, with a T4/T8 ratio of 0.17. A bone marrow biopsy showed no abnormalities.In March 1987, the patient developed oroesophageal candidiasis and was found to have two purplish macules on his face. Biopsy of the...References1. SUNDERAMMANIATISKAPILAMCDONALDREICHMAN TTRRL. Mycobacterium tuberculosis disease with unusual manifestations is relatively common in acquired immunodeficiency syndrome. Am Rev Respir Dis. 1984;129:191. Google Scholar2. ALVARBLÁZQUEZ IJ. Leishmaniasis en procesos de inmunodeficiencia: consideraciones sobre diez casos descritos procedentes de la cuenca mediterránea occidental. Ann Med Intern (Madrid). 1986;10:438-41. Google Scholar3. SENALDICADEOCARNEVALEDI PERRICAROLI GGGGG. Visceral leishmaniasis as an opportunistic infection. Lancet. 1986;1:1094. Google Scholar4. MARTÍNEZGARCÍAGUTIÉRREZRIOPÉREZVALDIVIESOALONSO RJJELF. Visceral leishmaniasis in HIV positive parenteral drug addicts. Med Clin (Bare). 1987;88:509-11. MedlineGoogle Scholar5. Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome: leads from the MMWR. JAMA. 1987;258:1143-54. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. 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Bernaldo de Quiros, MD, Antonio Garcia de la Fuente, MD, Emilio Bouza, MDKala-Azar and the Acquired Immunodeficiency Syndrome (AIDS)MIGUEL YEBRA, M.D., JAVIER SEGOVIA, M.D., LUIS MANZANO, M.D., JUAN A. VARGAS, M.D., LUIS BERNALDO DE QUIRÓS, JORGE ALVAR, M.D. 1 March 1988Volume 108, Issue 3Page: 490-491KeywordsAIDSBiopsyBone marrowCandidiasisHIVHomosexualsInfectious disease immunologyKala-azarLymphocytesMetastasis Issue Published: 1 March 1988 PDF DownloadLoading ...