The Indian Journal of Pediatrics

, Volume 74, Issue 8, pp 777–780 | Cite as

HIV infection mimicking autoimmune disorder

  • Jhuma Sankar
  • Dinesh Raj
  • Jeeva Sankar
  • Pradeep K. Sharma
  • Rakesh Lodha
  • S. K. Kabra
Clinical Brief


A 13-yr-old girl born to healthy parents presented with cough, fever, easy fatiguability, photosensitivity and alopecia. She had clubbing and diffuse crackles in the chest on examination. Her CT scan of the chest showed evidence of bronchiectasis with consolidation. Investigations for tuberculosis and collagen vascular disease were negative. In due course she developed features of raised intracranial tension. Her blood for HIV ELISA was positive with CD4 counts of 17/μL. Her CSF, sputum, blood and urine specimen were all positive for Cryptococcus neoformans on culture. HIV was not considered initially because of her atypical presentation. There was no history of sexual abuse, her parents were healthy and she did not receive any blood transfusion in the past.

Key words

AIDS Alopecia Photosensitivity Cryptococcus 


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Copyright information

© Dr. K C Chaudhuri Foundation 2007

Authors and Affiliations

  • Jhuma Sankar
    • 1
  • Dinesh Raj
    • 1
  • Jeeva Sankar
    • 1
  • Pradeep K. Sharma
    • 1
  • Rakesh Lodha
    • 1
  • S. K. Kabra
    • 1
  1. 1.Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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