MULTIPLE DERMATOFIBROMAS IN A PATIENT WITH HIV-INFECTION

We report the case of a 26-year-old man with haemophilia B and human i mmunodeficiency virus infection (HIV) who presented with a short histo ry of multiple dermatofibromas. He also had troublesome psoriasis for which he was receiving acitretin with UVB therapy and had recently dis continued low-dose daily prednisolone for associated arthropathy. Mult iple dermatofibromas are rare and have been reported previously in ass ociation with autoimmune disease, especially in individuals receiving immunosuppressive therapy. We believe this to be the first report of m ultiple dermatofibromas in an individual with advanced HIV infection a nd propose that it may be related to his viral-mediated immunodeficien cy, possibly augmented by UVB and systemic corticosteroid therapy.