Table 1 Factors associated with recurrent genital ulceration
TotalRecurrent, n = 24 (%)Non-recurrent, n = 72 (%)p Value*
Gender
Male6318 (75)45 (62.5)NS
Female336 (25)27 (37.5)
Ethnicity
Black African458 (33.3)37 (51.4)NS
Caucasian4012 (50)28 (38.9)
Black Caribbean84 (16.6)4 (5.6)
Other303 (4.2)
CD4 count
    <200 cells/ml52 (8.3)3 (4.2)NS
    200–350 cells/ml194 (16.7)15 (20.8)
    >350 cells/ml7218 (25)54 (75)
Anti-retrovirals
Off treatment239 (37.5)14 (19.4)p = 0.073
On treatment7315 (62.5)58 (80.6)
Syphilis serology
New infection**91 (11.1)8 (88.9)NS
Negative/previously treated***87232 (6.4)64 (73.6)
APOE-ϵ4 allele
APOE-ϵ4 present4819 (79.2)29 (40.3)p = 0.001
APOE-ϵ4 not present485 (20.8)43 (59.7)
  • 2 or Fisher’s exact test as appropriate; **new infection or >fourfold rise in Venereal Disease Research Laboratory (VDRL) test. Of these nine, one patient had a syphilitic chancre (not classified as an ulcerative episode for study purposes), two had rash only and the rest were asymptomatic; ***73 patients had negative syphilis serology during the 12 months preceding recruitment. 14 patients had positive serology due to previously treated, old infections with no VDRL rise in the period studied.