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HIV-Related Dermatologic Conditions More Common in Black Patients

Findings from a new study suggest that African American patients with HIV have an increased risk for developing HIV-related dermatologic conditions, including oral hairy leukoplakia.

“Due to reduced mortality, patients with HIV are living longer and presenting with chronic diseases,” the researchers said. “Little is known about racial differences in dermatologic conditions associated with HIV infection.”
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In the cross-sectional study, they assessed the burden of HIV-related dermatologic conditions among 4679 patients with HIV compared with race-matched controls at a tertiary health care system between July 14, 2013 and July 14, 2018.  Among the patients with HIV, 64.7% were male, 88.7% were being treated with anti-retroviral therapy, and 69% were African American.

The researchers found that African American patients with HIV had a greater risk for oral hairy leukoplakia, with an odds ratio (OR) of 64.69. In addition, African American patients with HIV had higher risks for herpes zoster (OR 9.27), prurigo nodularis (OR 8.80), and squamous cell carcinoma (OR 5.72).

“African American patients with HIV may be at increased risk for pruritic disorders compared with race-matched controls as well as white patients with HIV,” the researchers concluded.


Bender AM, Tang O, Khanna R, Ständer S, Kang S. Racial differences in dermatological conditions associated with Human Immunodeficiency Virus: a cross-sectional study of 4,679 patients in an urban tertiary care center [published online September 6, 2019]. J Am Acad Dermatol. doi:10.1016/j.jaad.2019.08.072


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