Complex Medical Dermatology in People Living with HIV

The presentation, led by a dermatologist with a focus on HIV-related dermatology, highlights the evolving understanding of skin manifestations in individuals living with HIV. It emphasizes the impact of HIV on immune dysregulation, which leads to various dermatoses, including opportunistic infections, inflammatory conditions like psoriasis and atopic dermatitis, and hormonal changes influencing immune responses. The talk covers the global landscape of HIV, specifically the Botswana program's success in managing HIV through effective antiretroviral therapy. It addresses the significant increased risk of skin cancers, particularly Kaposi sarcoma among HIV patients, and urges clinicians to conduct regular screenings. Various case studies illustrate common presentations such as medication-induced Stevens Johnson syndrome, systemic infections, and inflammatory dermatoses, stressing the importance of accurate diagnosis and treatment adjustments for HIV-positive patients. The speaker emphasizes biologics' safety for managing conditions like atopic dermatitis and psoriasis, advocating for proactive management strategies to enhance patient care in dermatology for those living with HIV, while acknowledging the complexities of treatment in immunocompromised individuals. The presentation concludes with case studies illustrating diverse dermatological challenges and the importance of tailored approaches in managing skin health in HIV patients.