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Sun related skin disorders in HIV+ people.
Nov 14, 2006

Diagnosed 20 years ago, I was on Bactrim for 10 yrs before commencing HAART. The long term side effect of the Bactrim is photosensitivity, causing irritating rashes that last for days or weeks after only a short exposure to the sun. This condition has persisted even after 10 yrs of not taking the Bactrim. What is the incidence of sun related skin disorders in HIV+ people and what are the treatment options? Chris, Australia.

Response from Dr. Henry

Good question. Photosensitivity (and skin damage due to UV light) is common in the general population and becomes more apparent with aging so it can be challenging to sort out the contribution of either HIV or certain drugs in various patient populations. Skin cancer is a major problem in the US where people like the tan look and so suffer skin damage which can lead to cancer as they age. I recall one unusual weekend when 2 of my AIDS patients who were doing well from the HIV-perspective both died of UV light related skin cancer. We frequently utilize our dermatology colleagues to periodically evaluate the skin of many of our HIV+ patients to screen for skin cancer/UV light damage and intervene for conditions diagnosed. KH

Avascular Necrosis
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