A difficult case in the practice of a dermatovenerologist: what is the patient hiding?

Khryanin A.A.

Novosibirsk State Medical University;
Association of obstetrician-gynecologists and dermatologists

Shpiks T.A.

Novosibirsk State Medical University

Russkikh M.V.

Novosibirsk State Medical University

Sukharev F.A.

Novosibirsk State Medical University

Bocharova V.K.

Pavlov First Saint Petersburg State Medical University

A difficult case in the practice of a dermatovenerologist: what is the patient hiding?

Authors:

Khryanin A.A., Shpiks T.A., Russkikh M.V., Sukharev F.A., Bocharova V.K.

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Journal: Russian Journal of Clinical Dermatology and Venereology. 2021;20(5): 36‑42

DOI: 10.17116/klinderma20212005136

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To cite this article:

Khryanin AA, Shpiks TA, Russkikh MV, Sukharev FA, Bocharova VK. A difficult case in the practice of a dermatovenerologist: what is the patient hiding?. Russian Journal of Clinical Dermatology and Venereology. 2021;20(5):36‑42. (In Russ.)
https://doi.org/10.17116/klinderma20212005136

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Currently, practitioners increasingly have to deal with the severe course of chronic skin diseases. At present stage, the presence of HIV infection in patients makes a significant contribution to the changes in clinical picture of dermatoses. We present a clinical case demonstrating the severe course of psoriasis associated with HIV infection. Such patients with comorbid pathology present significant difficulties in terms of both the verification of the diagnosis and the subsequent choice of treatment tactics. The features of the clinical picture of psoriasis in HIV-infected patients are considered, the compliance between the doctor and the patient are discussed. In real conditions, there are frequent cases of violation or even unauthorized refusal of the patient from therapy that undoubtedly reduces the effectiveness of treatment. Analyzing the reasons for the denial of the disease and the patient’s ignorance of the doctor’s prescriptions, the authors characterize the psychological characteristics and mental disorders in patients with the described comorbid pathology.

Keywords:

psoriasis

HIV infection

combination of psoriasis with HIV infection

clinical features

cognitive impairment

compliance

Authors:

Khryanin A.A.

Novosibirsk State Medical University;
Association of obstetrician-gynecologists and dermatologists

Shpiks T.A.

Novosibirsk State Medical University

Russkikh M.V.

Novosibirsk State Medical University

Sukharev F.A.

Novosibirsk State Medical University

Bocharova V.K.

Pavlov First Saint Petersburg State Medical University

Received:

16.08.2020

Accepted:

03.08.2021

List of references:

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