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Year : 2013  |  Volume : 27  |  Issue : 3  |  Page : 212-215

Cytological study of cutaneous lesions in HIV-infected patients

1 Department of Pathology, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India
2 Department of Microbiology, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India
3 Department of Dermatology, RIMS, Imphal, Manipur, India

Correspondence Address:
L Sushila Devi
RIMS Colony, Lamphelpat, Qrt. No: V/4, Imphal - 795 004, Manipur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4958.127396

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Background: Early diagnosis of cutaneous lesions in HIV-infected patients is essential as most of these lesions are associated with significant morbidity and mortality. Objectives: To analyze the cutaneous lesions, the role of aspiration cytology in diagnosing these lesions and correlation with CD4 counts. Materials and Methods: This is a cross-sectional study of 34 cases of HIV sero-positive patients attending the cytology section of the Department of Pathology, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur over a period of 3 years (January 2009 to December 2011). The aspirated materials were stained with May-Grunwald Giemsa (MGG)/Leishman stain, and special stains were also done whenever necessary. Cultural confirmation in fungal lesions (ten cases) and serological tests in cryptococcal lesions were also done. Histological examinations were performed in case of neoplastic lesions (2 cases) and cases which were inconclusive by fine needle aspiration cytology (FNAC). History of receiving anti-retroviral therapy and data for CD4 count in all the cases were also analyzed. Results: Majority of the cases (91.2%) could be diagnosed by FNAC. The patterns of skin lesions were fungal (61.8%), viral (14.7%), Kaposi sarcoma (8.8%), tuberculosis (2.9%) and eosinophilic folliculitis (2.9%) respectively. Conclusion: FNAC is a rapid, safe, useful, inexpensive, and patient-friendly procedure in detecting various cutaneous lesions in HIV-infected patients.

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