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Violaceous papulonodular lesions in an AIDS case

机译:艾滋病病例中的绒毛状丘脑膜病变

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A 30-year-old unmarried male presented to us with multiple asymptomatic violaceous macules, papules, and nodules on the trunk and upper and lower limbs. The lesions initially started as macules that rapidly progressed to nodules. He also had tinea corporis as an incidental finding. Oral cavity had no lesions. Patient had no complaints of fever or weight loss. History of heterosexual exposure with multiple partners was present. There was no evidence of sexually transmitted diseases (STDs). Rest of his examination was normal. He turned out to be positive on testing for HIV by ELISA. All routine investigations like hemogram, liver and renal functions, and S.VDRL were normal. MT was nonreactive. CD4 count could not be done because of cost constrains. USG abdomen and chest X-ray were normal. Biopsy of the lesion is shown below.
机译:一名30岁未婚男性向我们展示了躯干,上肢和下肢的多个无症状紫斑,丘疹和结节。病变最初以黄斑开始,迅速发展为结节。他还发现了体癣。口腔无病变。患者没有发烧或体重减轻的主诉。存在与多个伴侣的异性接触史。没有证据表明性传播疾病。其余检查正常。事实证明,他对通过ELISA检测HIV表示积极。血常规,肝肾功能和S.VDRL等所有常规检查均正常。 MT是无反应的。由于成本限制,无法进行CD4计数。 USG腹部和胸部X线检查正常。病变的活检如下所示。

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