Correspondence |

Silicone Injection Masquerading as HIV-Psoriasiform Dermatosis

Amani A. AlFalasi, MD; Humaid G. Khalfan, MD; Badr AbdullGaffar, MD; Alia Almualla, MD
Arch Dermatol. 2012;148(10):1212-1213. doi:10.1001/archdermatol.2012.2092.
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Psoriasiform dermatoses are common in patients infected with human immunodeficiency virus (HIV).1 Psoriasis can have atypical clinical and pathologic features in patients with AIDS.25 Liquid silicone injection is widely used for soft-tissue augmentation with little tissue reaction.6 To our knowledge, the present clinical presentation of HIV-psoriasiform dermatosis after silicone injection has not been reported.

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Figure 1. Sharply demarcated irregular scaly erythematous plaques on the buttock.

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Figure 2. Skin biopsy specimen. Findings include irregular psoriasiform acanthosis, a parakeratosis mound with neutrophils, minimal superficial perivascular lymphocytic infiltrate with dilated tortuous subepithelial capillaries and few plasma cells. The deeper reticular dermis shows infiltration by foamy histiocytes with vacuolated foreign material (hematoxylin-eosin, original magnification ×200).




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