CLINICAL AND SOCIAL PORTRAIT OF A PATIENT WITH HIV-ASSOCIATED PSORIASIS: CASE FROM PRACTICE

DOI: https://doi.org/10.29296/25877305-2023-07-08
Issue: 
7
Year: 
2023

Professor M. Tlish(1), MD; Associate Professor T. Kuznetsova(1), Candidate
of Medical Sciences; Associate Professor Zh. Naatyzh(1), Candidate of Medical Sciences; E. Erokhina(2), Candidate of Medical Sciences, A. Perederiy2
1-Kuban State Medical University, Ministry of Health of Russia, Krasnodar
2-Clinical Skin and Venereological Dispensary, Ministry of Health of the Krasnodar Territory, Krasnodar

The tasks of the state strategy of counteraction to the spread of HIV infection in the Russian Federation for the period until 2030 are the development and implementation of individual approaches and targeted programs of HIV prevention in each region, raising the awareness of specialized specialists, especially primary health care doctors, on HIV prevention and diagnosis in order to detect persons with HIV infection at the early stages of the disease. The 2022 standard of primary health care for adults with HIV infection (diagnosis, treatment and follow-up) clearly defines a wide range of specialists involved in the diagnosis of the disease. The multiplicity of HIV-associated dermatoses explains the role of dermatovenerologists in the diagnostic algorithm. This article describes clinical cases of HIV-associated psoriasis. The attention of specialists is focused on the peculiarities of the clinical picture and course of psoriasis de novo on the background of HIV-infection. The influence of social factors on comorbidity formation was demonstrated. The article mentions the importance of thorough history taking, complex assessment of clinical and social status and psychological characteristics of a patient, development of clear individual diagnostic search upon establishment of final clinical diagnosis. This example points to the need to develop new interdisciplinary algorithms of medical care.
Keywords: 
infectious diseases
dermatology
HIV-infection
state strategy
psoriasis
comorbidity
diagnostic algorithm.

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