|LETTER TO EDITOR
|Year : 2019 | Volume
| Issue : 1 | Page : 64
Generalized eruptive histiocytosis in a child: A rare entity
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Web Publication||13-Jun-2019|
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. Generalized eruptive histiocytosis in a child: A rare entity. Indian J Dermatopathol Diagn Dermatol 2019;6:64
|How to cite this URL:|
Al-Mendalawi MD. Generalized eruptive histiocytosis in a child: A rare entity. Indian J Dermatopathol Diagn Dermatol [serial online] 2019 [cited 2019 Jul 21];6:64. Available from: http://www.ijdpdd.com/text.asp?2019/6/1/64/260197
I read with interest the case report by Kar et al. on the generalized eruptive histiocytosis (GEH) in an Indian child. I assume that the rare presentation of GEH in a young child should alert the authors to consider impaired immune status. Among conditions associated with impaired immunity, infection with human immunodeficiency virus (HIV) is of prime importance. My assumption is based on the following point. It is obvious that individuals infected with HIV are more susceptible to a wide range of proliferative disorders (PDs) compared to immune-competent counterparts. To my knowledge, India is among Asian countries noticeably affected with HIV. Although no recent data are yet present on the exact pediatric HIV seroprevalence in India, pediatric HIV is poised to become a major public health problem in India with the rising trend of HIV infection in pregnant. The seroprevalence of HIV infection among Indian pregnant was reported to be substantial (1.03%). Children with perinatal exposure to HIV were found to be at increased risk to various PDs compared to nonexposed counterparts. Among PDs, histiocytosis has been reported in HIV-positive pediatric patients. Regrettably, the HIV status of the studied child and mother was not defined. I presume that some sort of vertical HIV transmission to the child ought to be considered by the authors. Hence, the measurements of blood CD4 lymphocyte count and viral overload in the studied child were solicited. If these measurements were accomplished and they revealed HIV infection, the case in question could be truly considered a novel case report of HIV-associated GEH in India.
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| References|| |
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