<h3>To the Editor.—</h3> In patients with the acquired immunodeficiency syndrome (AIDS)- or human immunodeficiency virus (HIV)-related disorders, mucocutaneous manifestations caused by herpesvirus are frequent,<sup>1</sup>and may present with unusual clinical features.<sup>2</sup>Chronic anogenital ulcers due to herpes simplex virus (HSV), severe dermatomal herpes zoster (HZ), and protracted forms of varicella and vesiculobullous eruptions due to cytomegalovirus have all been described.<sup>3-5</sup>The purpose of this article is to illustrate a peculiar form of disseminated ecthymatous varicella zoster virus (VZV) infection in two patients with AIDS, which was characterized by necrotic cutaneous lesions and a prolonged course. <h3>Report of Cases.—Case 1.</h3> —A 35-year-old bisexual man with a history of varicella during childhood and condylomata acuminata for one year was found to be seropositive to HIV in May 1986, when he was hospitalized for<i>Pneumocystis carinii</i>pneumonia and oral candidiasis. He developed cerebral toxoplasmosis in June 1986, and noted