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HIV (Human Immunodeficiency Virus) is
the virus that causes AIDS (Acquired Immune Deficiency Syndrome). The
virus weakens a person’s ability to fight infections and cancer. People
with HIV are said to have AIDS when the virus makes them very sick and
they develop certain infections or cancers.
Because HIV weakens the immune system,
people with AIDS are more likely to suffer health problems, including
those of the skin. In fact, certain skin diseases may be the first sign
that someone is infected with HIV.
While many people with HIV/AIDS may
develop the following conditions, especially Kaposi’s sarcoma (sometimes
called KS), it is important to note that a person may have any one of
these conditions but not have HIV/AIDS.
Thrush and HIV/AIDS
Thrush is an infection of the mouth caused by the candida fungus, a type of yeast. A common sign of thrush is the presence of creamy white, slightly raised lesions in your mouth — usually on your tongue or inner cheeks — but also sometimes on the roof of your mouth, gums, tonsils, or back of your throat. The lesions, which may have a “cottage cheese” appearance, can be painful and may bleed slightly when you scrape them or brush your teeth.
Candida infections can spread to other
parts of the body, including the esophagus, lungs, liver, and skin. This
happens more often in people with cancer, HIV, or other conditions that
weaken the immune system. The symptoms may be more severe and difficult
to manage in those with weakened immune systems.
To treat thrush, your doctor may
prescribe antifungal medications (tablets, lozenges, or liquids), which
are generally taken for 10 to 14 days.
Kaposi’s Sarcoma and HIV/AIDS
Kaposi’s sarcoma (KS) is a form of cancer that occurs on the skin and in mucous membranes. It occurs among people who have HIV/AIDS. It is related to a herpes type virus.
KS appears as purplish or dark lesions
on the skin. Because of the weakened immune system caused by AIDS, KS
can spread quickly to other parts of the body, including internal
organs.
KS can be treated with surgery (cutting
out the lesion and surrounding skin), chemotherapy (drugs that kill
cancer cells), radiation therapy (high doses of X-rays or other
radiation), or biologic therapy (using the body’s own resources to boost
the immune system). Treating HIV itself is usually the best treatment
as it restores the immune system enough to cure the KS.
Oral Hairy Leukoplakia As a Sign of HIV/AIDS
Oral hairy leukoplakia is an infection that appears in the mouth as white lesions on the bottom or sides of the tongue. Oral hairy leukoplakia may be one of the first signs of HIV/AIDS. The infection is caused by the Epstein-Barr virus.
Oral hairy leukoplakia lesions may be
flat and smooth or raised and furry (hairy). The lesions do not cause
pain or discomfort, so they are usually not treated. The condition
resolves on its own, but can recur often. If necessary, oral hairy
leukoplakia can be treated with acyclovir, a medication that treats
herpes (see below).
HIV/AIDS and Molluscum Contagiosum
Molluscum contagiosum is an infection that is marked by smooth white or flesh-colored bumps on the skin. It is caused by a virus and is contagious.
This condition is not serious, and the bumps often resolve on their own without treatment. However, in people with HIV infection whose immune systems are functioning poorly, the infection can become very chronic and progressive. If necessary, the bumps can be removed by a doctor by scraping or freezing. Drug treatments may include retinoic acid or imiquimod cream. Again, the best treatment is to treat the HIV itself, and as the immune system improves, the molluscum will resolve.
HIV/AIDS and Herpes
There are two types of herpes: Herpes simplex type 1 (or HSV-1), which occurs most often on or near the mouth and appears as a cold sore, and herpes simplex type 2 (or HSV-2), which occurs most often on or near the sex organs and is sometimes called “genital herpes.” The herpes virus is spread by close personal contact, such as kissing or sexual intercourse. Genital herpes is a sexually transmitted disease, or STD.
There is no cure for herpes. Once a
person has the virus, it remains in the body. The virus lies latent in
the nerve cells until something triggers it to become active again.
These herpes “outbreaks,” which can include the painful herpes sores,
can be controlled with antiviral medication.
Shingles Can Be a Painful Link to HIV/AIDS
Shingles, also known as herpes zoster, is an infection caused by the chicken pox virus. This virus remains dormant in the nerve cells of people who have had chicken pox, and can reactivate in the body later on, resulting in illness.
Early symptoms of shingles include
tingling feeling, itchiness, numbness, and stabbing pain on the skin.
Additional symptoms arise a few days later, and usually include: a band
or patch of raised spots on the side of the trunk or face (on one side
of the body only), small, fluid-filled blisters, a red rash, and pain
lasting for several weeks.
Although shingles, like all other viral
diseases, cannot be cured, it usually will go away on its own and may
not require any treatment, except to control symptoms. Doctors can
prescribe antiviral medications to control the infection, and reduce the
severity and duration of the disease.
To combat the pain, doctors may
recommend an over-the-counter pain reliever, such as ibuprofen,
naproxen, or acetaminophen. A stronger pain reliever, such as codeine or
oxycodone, may be prescribed for severe pain and discomfort.
Psoriasis and HIV/AIDS
Psoriasis is a common skin disorder that produces thick, pink-to-red, itchy patches of skin covered with silvery scales. The rash usually occurs on the scalp, elbows, knees, and lower back and in the same place on both sides of the body. It can also occur in fingernails.
Psoriasis cannot be cured, but treatment
greatly reduces signs, even in severe cases. Common treatments include
steroid creams, topical vitamin D derivatives, and topical retinoids;
these may also be used with ultraviolet light therapy for severe cases.
For severe disease, there are a number of effective therapies taken in
pill form or by injection.
HIV/AIDS and Seborrheic Dermatitis
Seborrheic dermatitis is an inflammation of the skin around where the sebaceous glands are located (primarily in the head, face, chest, upper back, and groin). When these glands produce too much oil, it causes red and flaking skin.
There is no cure for seborrheic
dermatitis. To treat this condition, you can use a shampoo that contains
coal tar, zinc pyrithione, or selenium sulfide. Other treatments
include topical antifungals such as ketoconazole or topical
corticosteroids such as hydrocortisone. In someone with HIV infection,
the seborrheic dermatitis will improve as the immune system improves
with treatment of HIV.
Read more articles about HIV/AIDS from Cure Health, here.
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