A 22-year-old homosexual male, newly diagnosed with human immunodeficiecy virus (HIV), presented with a rash and thin, scaly peeling on both knees and elbows. Multiple orange-brown, scaly plaques were observed on the flexor surface of the elbows. Histopathologic examination was consistent with a clinical diagnosis of pityriasis rubra pilaris (PRP). The CD4+ T lymphocyte count was 522/µL, and the viral load was 19,100 copies/µL. Treatment with acitretin and antiretroviral therapy was initiated, and the patient responded well within three months.
Keywords: Antiretroviral therapy; HIV; pityriasis rubra pilaris.
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