Abstract

From St fo Fund Conf Corre H A 36-year-old man with a long-standing history of HIV presented with a 1-month history of a generalized asymptomatic centrifugal skin eruption. He reported a new sexual partner over the past few months and a history of penicillin allergy. He denied any history of arthritis, herpes simplex infection, or new medications. The physical examination revealed scattered erythematous macules and annular patches on his scalp, chest, arms, palms, legs, and soles, with a few pustules and ulcerations on his groin (Figs 1 and 2). A punch biopsy specimen was obtained and was sent for review by the dermatopathologist (Figs 3 and 4).

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