STIs

Question 1

List mucocutaneous manifestations of HIV

Answer 1

CD4 350-500
1. Herpes zoster
2. Onychomycosis
3. Seb derm
4. Angular chelitis
5. Pruritic papular eruption
6. Recurrent oral ulcers
7. Warts
8. Molluscum
9. Linear gingival erythema

CD4 200-350
1. Persistent oral candida
2. Oral hairy leukoplakia
3. Acute necrotising ulcerative stomatitis/gingivitis

CD4 <200
1. Chronic HSV
2. Kaposi sarcoma
3. Cryptococcus inf
4. Disseminated endemic mycosis (coccidiodomycosis or histoplasmosis)
5. Disseminated non-TB mycobacterium
6. Atypical leishmaniasis

Question 2

List cutaneous signs of syphilis

Answer 2

• Primary Chancre
• Alopecia
• Mucous patches
• Oral commissure - Spilt papules
• Facial hyperpigmented annular plaques
• Lymphadenopathy
• paronychia
• papulosquamous plaques w collarette of scale
• papulonodular lesions
• brown/red plaques (palms/soles)
• clavus like lesions (annular, hyperkeratotic)
• ulcerations
• condylomata lata
• gummas (oral, genital, skin)

Question 3

Signs of congenital syphilis

Answer 3

• Secondary syphilis skin signs.
• Rhagades (radial periorificial scars, sites of prev fissures)
• Dental: peg shaped, notched teeth, defective enamel
• Eyes: Keratitis ->corneal ulcers/opacities
• Ears: deafness
• Skeletal - frontal bossing, saddle nose, high palate, sml maxilla, prominent mandible, tibial bowing

Question 4

Non-cutaneous signs syphilis

Answer 4

Neurosyphilis
Cardiovascular syphilis
Bony gummas

Question 5

Severe rare form of syphilus

Answer 5

Lues malignana
Widespread papulonecrotic lesions