, Volume 6, Issue 1, pp 102-107
Date: 17 Nov 2009

Hepatitis C- and Human Immunodeficiency Virus-Induced Hypersensitivity Vasculitis

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Case presentation

A 49-year-old Caucasian man with a history of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) was evaluated for fevers, rash, and arthritis. The patient’s medical history was notable for HIV (diagnosed in 1994; last CD4 count of 500 and viral load >10,000). He was not on anti-retroviral therapy for the last year due to liver function abnormalities but had no history of opportunistic infections, he was infected with HCV (viral load greater than 3.5 million, untreated), and also carried diagnoses of hypertension, insulin-dependent diabetes mellitus, paroxysmal atrial fibrillation (not on anticoagulation), depression, and a recent negative purified protein derivative test. He had no known drug allergies. His home medications included detemir, atenolol, humulin, and lisinopril. He had a 90-pack year smoking history, as well as previous alcohol and heroin abuse (which he quit in 1999). He was living with his girlfriend, and on disability.

Five months prior to ...

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of this case, that all investigations were conducted in conformity with ethical principles of research.