Abstract
A 22-year-old newly diagnosed HIV male, homosexual, presented with rash and thin scaly peeling on bilateral knees and elbows. There were multiple orange-brown scaly plaques on the extensor surfaces of his extremities. Histopathologic examination was consistent with the clinical diagnosis of Pityriasis Rubra Pilaris. CD4+ T lymphocytes were 522/μl and virus load was 19 100 copies/μl. Acitretin and antiretroviral therapy was started and he responded well within 3 months.
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