THE STRUCTURE OF DERMATOLOGICAL MORBIDITY OF PATIENTS WITH TUBERCULOSIS OF THE LUNGS INFECTED WITH HIV IN THE CONDITIONS OF THE NORTHERN REGION
Тo study the structure of dermatological morbidity in patients with pulmonary tuberculosis and HIV infection living in the urbanized North. The methods of targeted medical examination and analysis of primary medical documentation (medical records of inpatient patients) of HIV-infected tuberculosis patients over 18 years of age hospitalized in the Surgut Clinical Tuberculosis Dispensary in 2019-2021 were used. 148 people were included in the study; 82% of them were males, 28% were females. The main diagnosis was pulmonary tuberculosis. All patients were HIV-positive with diagnoses of «HIV-induced disease, stage 4B or 4B, VAART». A detailed dermatological examination revealed that 71.3% of the patients studied had concomitant dermatological pathology. Skin lesions of infectious origin were detected in 67.7% of patients. In the group of infectious dermatoses, dermatoses of mycotic, viral and bacterial etiology were recorded. Non-infectious skin lesions were detected in 67.1% of HIV-infected patients with pulmonary tuberculosis. The study group included patients with pulmonary tuberculosis and HIV infection at the AIDS stage. The detected skin lesions in a significant number of patients indicate the vulnerability of the skin in these diseases. Dermatoses of infectious origin prevailed against the background of pronounced immunosuppression. The proportion of non-infectious dermatoses in HIV-positive patients with pulmonary tuberculosis is also high, but is most likely due to massive drug therapy. Since infectious dermatoses prevail in patients with HIV and pulmonary tuberculosis, it is advisable to organize dermatological monitoring of patients at risk, which will allow detecting infectious lesions of the skin and its appendages in the early stages, reduce the risks of progression and dissemination of the pathological process. The skin process in an immunodeficiency condition acquires clinical features and can be an AIDS indicator marker.