Retrospective analysis of 196 HIV-infected men who have sex with men in Guangxi region
Objective To analyze the clinical epidemiological characteristics of men who have sex with men(MSM)with HIV infection,as well as the status of concurrent skin diseases and advanced anal diseases(high-grade squamous intraepithelial lesions of the anus and/or anal cancer).Methods Epidemiological data,data on concurrent skin diseases,and data on advanced anal diseases were collected from 196 HIV-infected MSM hospitalized in the department of dermatology of the First Affiliated Hospital of Guangxi Medical Univer-sity,Dermatology Hospital of Guangxi Zhuang Autonomous Region,the Fourth People's Hospital of Nan-ning,and the Affiliated Hospital of Youjiang Medical University for Nationalities between January 2003 and December 2023,and relevant epidemiology,skin diseases,and advanced anal disease characteristics were ana-lyzed.Results The mean age of the HIV-infected MSM was 36.44±17.17 years old,most of them were un-married(54.08%),with a high-school education level(42.86%),and the majority of their occupations were workers(31.63%).The detection rate of concurrent skin diseases was 78.06%,with 42.35%having a single skin disease and 35.71%having two or more skin diseases.The highest detection rate of concurrent skin disea-ses was infectious skin diseases(71.94%).Staphylococcus aureus(42.35%)and Candida(56.12%)were the main infections among MSM.As the CD4+T lymphocyte count decreased among HIV-infected MSM,the de-tection rate of skin diseases and the variety of concurrent skin diseases increased.The detection rate of ad-vanced anal diseases among HIV-infected MSM was 21.94%,and there was a statistically significant associa-tion with the CD4+T-lymphocyte count.Conclusion HIV-infected MSM are predominantly unmarried workers with a certain level of education,and targeted interventions are needed to reduce HIV infection rates a-mong this population.HIV-infected MSM have a high detection rate and variety of concurrent skin diseases,and the types and prognosis of concurrent skin diseases are closely related to patients'own immunity.The low-er the self-immunity,the more types of concurrent skin diseases,the more likely to develop advanced anal dis-eases,and the worse the prognosis.
men who have sex with menHIV-infected individualsclinical epidemiologyskin diseasesadvanced anal diseases