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Miscellanea
Images in paediatrics
Diffuse hyperkeratotic lesions in a 4-year-old HIV-infected girl
  1. Andrea Bassi,
  2. Paola Piccini,
  3. Leila Bianchi,
  4. Carlotta Montagnani,
  5. Maurizio de Martino,
  6. Elisbetta Venturini,
  7. Luisa Galli
  1. Department of Health Sciences, University of Florence, Anna Meyer Children’s University Hospital, Florence, Italy
  1. Correspondence to Dr Andrea Bassi, Department of Health Sciences, University of Florence, Anna Meyer Children’s University Hospital, Viale Pieraccini 24-50139 Firenze, Italy; andrea.bassi{at}meyer.it

http://dx.doi.org/10.1136/archdischild-2018-315536

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    A 4-year-old girl arrived in Italy from Cameroon 8 months previously. She developed severe pneumonia several weeks later and was hospitalised. As part of her care, she underwent an immune workup and a severe depletion of CD4+ T cells (7 cell/mm3) was revealed with HIV copy number of 1.8 million/mm3. She was given lamivudine and lopinavir/ritonavir. After about 6 months of therapy, blood tests showed increased CD4+ T …

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    Footnotes

    • Contributors AB and PP have drafted the manuscript. EV, CM and LB were responsible for literature search. LG and MdM critically revisited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.