Skin cancers—including basal cell carcinoma, squamous cell carcinoma, and melanoma—impose high incidence and morbidity in older persons. As life expectancy continues to increase in persons living with HIV (PLWH), this population may face an increased risk of non–AIDS-defining malignancies, such as skin cancers. We conducted a systematic review on skin cancer risks in PLWH, ages 50 years or older, as compared with age-matched, HIV-uninfected persons. Four studies met criteria and were included. No statistically significant associations were demonstrated between HIV infection and skin cancers in older persons. For those with a history of basal or squamous cell carcinoma, HIV infection was associated with higher risks of subsequent squamous cell carcinoma. Future studies are needed to elucidate and reduce morbidity of primary and multiple skin cancers to promote successful aging in PLWH.
Howa Yeung, MD, is Instructor of Dermatology, Emory University School of Medicine, Atlanta, Georgia, USA. Vijay Balakrishnan, MD, is Resident Physician, Spartanburg Regional Healthcare System, Spartanburg, South Carolina, USA. Kevin Man Hin Luk, MD, MPH, is Resident Physician, Emory University School of Medicine, Atlanta, Georgia, USA. Suephy C. Chen, MD, MS, is Professor and Vice Chair of Dermatology, Emory University School of Medicine and Regional Telehealth Services VISN 7, Atlanta, Georgia, USA.
Corresponding author: Howa Yeung, e-mail: firstname.lastname@example.org
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