AIDS AND PSORIASIS

The sudden development of psoriasis in an adult who has not had it before and who has no family history of psoriasis, especially if it is unusually severe, should make one suspect that the victim is also infected with the AIDS virus, Cutis (39:347) reports.

Psoriasis, it will be recalled, is a chronic dermatitis with raised patches of red, scaly skin that itch severely. It is not ordinarily infectious, but in people who have AIDS as well, there may be weeping skin lesions that shed the AIDS virus. In AIDS victims, furthermore, psoriasis tends to be more extensive, severe, treatment-resistant, and even life-threatening. One is reluctant to give these patients steroids (cortisonelike drugs) since they depress immunity, and AIDS victims already have difficulty in resisting infections.

AIDS patients with weeping lesions with psoriasis become extremely vulnerable to bacterial infections. Accordingly, for both parties concerned, it would be much safer to avoid any physical contact.

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