Acrocyanosis is either idiopathic or secondary to diseases such as myeloproliferative disorders.1 It has been observed in patients infected with human immunodeficiency virus (HIV) together with cryoglobulinemia2 and Pneumocystis carinii septicemia.3 Here we report a case of an HIV-infected patient with acrocyanosis secondary to abuse of butyl nitrite. This is the first report of this adverse effect.
Hoegl L, Thoma-Greber E, Poppinger J, Röcken M. Butyl Nitrite–Induced Acrocyanosis in an HIV-Infected Patient. Arch Dermatol. 1999;135(1):90-91. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-1-dlt0199