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.
关键词
男男性行为/HIV感染者/临床流行病学/皮肤病/晚期肛门疾病
Key words
men who have sex with men/HIV-infected individuals/clinical epidemiology/skin diseases/advanced anal diseases