PMID- 26731836 OWN - NLM STAT- MEDLINE DCOM- 20160209 LR - 20160106 IS - 0004-5772 (Print) IS - 0004-5772 (Linking) VI - 63 IP - 7 DP - 2015 Jul TI - Idiopathic Pyoderma Gangrenosum as a Novel Manifestation of the HIV Immune Reconstitution Inflammatory Syndrome: A Report of Three Cases. PG - 72-6 AB - The initiation of antiretroviral treatment for individuals with HIV may be accompanied by a paradoxical flare of underlying inflammatory diseases, the recurrence of dormant infections, or worsening of prior treated opportunistic infections, termed the immune reconstitution inflammatory syndrome (IRIS). Cutaneous manifestations of IRIS are common. Pyoderma gangrenosum is a neutrophilic dermatosis postulated to reflect disrupted innate immune regulation causing altered neutrophil chemotaxis. It is uncommonly reported in association with HIV. In this case series, we present three cases of IRIS manifesting with pyoderma gangrenosum in individuals with HIV from India and the United States to raise awareness of this previously undescribed presentation and discuss the treatment challenges in the management of these patients. FAU - Nambudiri, Vinod E AU - Nambudiri VE FAU - Kersellius, Romona AU - Kersellius R FAU - Harp, Joanna AU - Harp J FAU - Maniar, J K AU - Maniar JK FAU - Maurer, Toby A AU - Maurer TA LA - eng PT - Case Reports PT - Journal Article PL - India TA - J Assoc Physicians India JT - The Journal of the Association of Physicians of India JID - 7505585 SB - IM MH - Adult MH - Female MH - HIV Infections/*complications/pathology MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*pathology/*virology MH - Male MH - Middle Aged MH - Pyoderma Gangrenosum/*pathology/*virology EDAT- 2016/01/07 06:00 MHDA- 2016/02/10 06:00 CRDT- 2016/01/07 06:00 PHST- 2016/01/07 06:00 [entrez] PHST- 2016/01/07 06:00 [pubmed] PHST- 2016/02/10 06:00 [medline] PST - ppublish SO - J Assoc Physicians India. 2015 Jul;63(7):72-6.