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| LETTER TO THE EDITOR |
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| Year : 2022 | Volume
: 16
| Issue : 2 | Page : 70 |
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Segmental leiomyoma: A report of two cases
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| Date of Submission | 04-Dec-2021 |
| Date of Decision | 03-Jan-2022 |
| Date of Acceptance | 16-Jan-2022 |
| Date of Web Publication | 16-Jun-2022 |
Correspondence Address:
Prof. Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P.O. Box 55302, Baghdad Post Office, Baghdad
Iraq
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjd.tjd_133_21
How to cite this article:
Al-Mendalawi MD. Segmental leiomyoma: A report of two cases. Turk J Dermatol 2022;16:70 |
Dear Editor,
In July–September 2021 issue of the Turkish Journal of Dermatology, Iswarya et al.[1] presented two Indian patients with type 1 segmental leiomyoma. Immunocompromised individuals are more susceptible to various lymphoproliferative and neoplastic disorders due to low cellular and humoral immunity.[2] I wonder why Iswarya et al.[1] did not take into consideration the immunocompromised status in the studied patients, in particular infection with human immunodeficiency virus (HIV). Indeed, cutaneous leiomyoma has been reported in HIV-positive individuals.[3] In India, HIV infection is a cumbersome health threat. The published data pointed out to the national adult prevalence of 0.22% (0.17%–0.29%) in 2019.[4] Regrettably, the employed laboratory tests in the studied patients did not involve HIV testing. We believe that the diagnostic panel of fourth-generation assay for P24 antigen and antibodies as well as estimating viral overload and CD4 lymphocyte counts would have warranted. If that panel was to address HIV reactivity, the two cases in question could be regarded novel case reports of HIV-associated skin leiomyoma in the Indian literature.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Iswarya A, Vijayasankar P, Karthikeyan K, Sriram V Segmental leiomyoma: A report of two cases. Turk J Dermatol 2021;15:80-2.  |
| 2. | Ji Y, Lu H Malignancies in HIV-infected and AIDS patients. Adv Exp Med Biol 2017;1018:167-79. |
| 3. | Kanitakis J, Carbonnel E, Chouvet B, Labeille B, Claudy A Cutaneous leiomyomas (piloleiomyomas) in adult patients with human immunodeficiency virus infection. Br J Dermatol 2000;143:1338-40. |
| 4. | Government of India, Ministry of Health & Family Welfare, National AIDS Control Organisation. HIV Facts & Figures. Available from: http://naco.gov.in/hiv-facts-figures. [Last accessed on 2021 Dec 3]. |
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