Hallazgos en piel en pacientes con infección por VIH en Bogotá

Objetive To describe the skin findings and sociodemographic characteristics of HIV-po-sitive patients attended at a medical center in Bogotá. Methods Descriptive observational study, including adults with HIV infection attended at the Hospital Universitario San Ignacio de Bogotá, between April 2019 and February 2020. Based on an interrogation, physical examination and review of medical records, skin fin-dings, data on antiretroviral therapy received, CD4+ lymphocyte count and viral load for HIV, as well as mycological and histopathological tests (when necessary) were recorded. Results A total of 168 patients were evaluated, most of whom were men (88.7%), in the fourth decade of life, of MSM orientation (77.4%), with phototypes II to IV (97%) and managed with antiretroviral therapy (94.6%). Skin findings were found in 97.6% of patients, with infections being more frequent (43.8%), specifically anogenital condylo-mas, mainly in patients with <200 CD4+ lymphocytes/mm3, followed by inflammatory conditions (35.4%), mainly seborrheic dermatitis and acne. The latter, more frequent in patients with >200 CD4+ lymphocytes/mm3. Conclusions The most frequent skin findings were: seborrheic dermatitis, anogenital condylomas, viral warts, mollus-cum contagiosum and superficial mycosis, which is similar to that reported in populations with good immunovirological control of the disease. The high prevalence of anogenital condylomas invites us to implement screening strategies for HPV, as well as education on sexually transmitted infections.