ACUMINATA and
PRURIGO NODULARIS
ERUPTION IN THE
PATIENT OF HIV
CASE REPORT
Name
Age
: Mr. IF
: 49 Years Old
Address
Marital status
Religion
: Marriage
: Moslem
: 251942
HISTORY TAKING
Chief Complain
: Itchy in whole body
Brief Anamnesis : The patient consuled from
interna department with complaints of itching of the
whole body on July 11th 2012. there is a lump in
almost the entire body since 6 months ago
especially on the part of both legs. There are
swelling in regio femoralis dextra, pain (-).
There is a mass on his scrotum like a cocks comb
that arise from a year ago.
History of fever 5 days before come to hospital.
History of drug abuse(+) like morfin since 1997.
History of hiv disease was diagnosed on 11 July
2012
PHYSICAL EXAMINATION
Anemic (-), icterus (-), cyanoses (-)
Thorax :
There is a mass in the left breast with rubbery
consistency and flat surfaces
Cor / Pulmonal : normal
Abdomen : normal, peristaltik(+)
Genitals
cauliflower
stemmed
vegetation
such
as
CURRENT STATUS
DERMATO-VENEREOLOGY STATUS
Regio : Regio pedis dextra et sinistra
Efl : Nodule hyperpigmentation
Regio : Regio intertriginous dextra et sinistra
Efl : Nodule
Regio : Regio genitalia
Efl : Stemmed vegetation such as
cauliflower
WBC
RBC
HB
HCT
PLT
LYM
Creatine
NEUT
SGOT
SGPT
:
:
:
:
:
:
RECOMMENDED EXAMINATION
Acetowhitening
Biopsy
RESUME
Dermato-venerology status :
Regio : Regio pedis dextra et sinistra
Efl
: Nodule hyperpigmentation
Regio : Regio intertriginous dextra et sinistra
Efl
: Nodule
Regio : Regio genitalia
Efl
: Stemmed vegetation such as cauliflower
DIAGNOSIS
Condyloma Acuminata + Prurigo
Nodularis Eruption e.c.
Immunodeficiency
TREATMENT
Betametason cr
TCA (Trichloroasetic Acid)
Cetirizine 1x1
CONDYLOMA ACUMINATA
Condyloma acuminata is sexually transmitted
HPV infection of genital and perianal transition
mucosa.
PATHOGENESIS
Most commonly caused by HPV 6 and 11 which
are not oncogenic. Important to exclude
infection with HPV 16 and 18 which are
oncogenic. In affected women, HPV analysis of
pap smear may supplement cytology to assess
risk.
CLINICAL MANIFESTATION
Incubation period 4 weeks 6 months.
Tiny white papules which rapidly both spread and
enlarge. Larger lesions often macerated. May be genital
or perianal.
DIAGNOSIS
Always examine sexual partner and exclude other STDs.
Painting with 5% acetic acid will unmask discrete
lesions by turning them white. Be sure affected women
have cervical examination. If lesions are recalcitrant,
consider HPV typing.
DIFFERENTIAL DIAGNOSIS
Verruca vulgaris
Condyloma lata
Squamous cell carsinoma
TREATMENT
Non-surgical
cryotherapy,
surgical
excision,
PROGNOSIS
Although even residif, but the prognosis
is good
THANK YOU