Indian Journal of Sexually Transmitted Diseases and AIDS最新文献

Sexually transmitted infections (STIs) among the elderly are an underrecognized yet growing public health concern. This review explores the epidemiological trends, risk factors, and healthcare barriers contributing to STI burden in the elderly population. Factors such as physiological changes, low condom use, limited sexual health education, and under-recognition by healthcare providers heighten vulnerability in this group. Stigma and discomfort around sexual health discussions further impede prevention and timely diagnosis. The review also examines implications of immunosenescence, polypharmacy, and comorbidities on STI susceptibility and outcomes. Older adults are often overlooked in public health interventions for such infections. Hence, addressing this gap requires age-inclusive sexual health policies, tailored screening guidelines, and greater awareness among clinicians and the public.

Kissing nevi are rare congenital melanocytic nevi (CMN) that develop on adjacent skin areas separated during embryogenesis. We report a 25-year-old uncircumcised man with two asymptomatic brownish-black macules on the dorsolateral glans penis and inner foreskin, aligning as "kissing" lesions. Dermoscopy showed a structureless brown center with peripheral pigment globules. Their embryological origin involves melanoblast migration before or during preputial placode separation. While typically benign, rare cases of malignant transformation necessitate regular monitoring. Treatment options, including surgery and laser therapy, should balance functional and aesthetic considerations. This case highlights the clinical significance of this unique entity.

Background: Sexually transmitted infections (STIs) are a major public health problem worldwide, particularly in resource-limited countries. In India, while women are generally more vulnerable to STIs, male attendance in STI clinics is higher. The pattern of STIs varies regionally based on many factors. Being updated with the current trends helps in better policymaking.

Aims and objectives: To understand the clinical profile of STIs in males attending a tertiary care center in Karnataka over a period of 5 years.

Materials and methods: A retrospective study was conducted by analyzing the clinical records of males attending the STI clinics of Chigateri General Hospital and Bapuji Hospital, affiliated with JJM Medical College in Davangere, Karnataka, from 2018 to 2023.

Results: Among a total of 394 STI cases majority (68.8%) were males, with a male-to-female ratio of 2.2:1. Among them, the most common age group was 21-40 years (68.6%), majority (74.2%) were semi-skilled or unskilled workers, and mainly hailing from rural areas (63.5%). 58.7% of patients were married, 52% gave a history of extra-or premarital sex and about 10% of patients were men who have sex with men (MSM). Ulcerative STIs were more common (56.5%) with herpes genitalis (39.5%) the most common STI, followed by condyloma acuminata (21.77%). Co-infections with other STIs were seen in 2.2% of cases among which 1.85% were also HIV positive. The prevalence of HIV among all STI cases was 6.3%, while that among the MSM was 18.5%.

Conclusion: STIs still remain a significant public health problem. This study underscores the need for targeted STI management strategies, especially for high-risk groups, to improve public health outcomes. Data on clinical pattern of STIs, and HIV prevalence rates can help in appropriate allocation of public health resources and better management of STIs.

HIV infection presents a variety of symptoms, including connective tissue disorders. Systemic sclerosis (SSc) with HIV is rarely reported, with limited literature. We present a 45-year-old female with HIV on HAART who developed diffuse cutaneous SSc. She was successfully treated with rituximab, showing significant improvement in cutaneous manifestations.

Condyloma lata, a skin manifestation of secondary syphilis, typically presents as verrucous papules and plaques in the anogenital region. However, its occurrence at the umbilicus is rare. Recognizing this atypical presentation, along with conducting a thorough history, physical examination, and appropriate laboratory tests, can assist clinicians in achieving a timely and accurate diagnosis. Here, we report a case of condyloma lata with an uncommon presentation involving the umbilicus.