Photoquiz: Generalized violaceous papulosquamous eruptions in an HIV-positive female
Infectious Diseases and Tropical Medicine 2023;
9: e1097
DOI: 10.32113/idtm_20233_1097
Abstract
A 25-year-old woman gravida 2, para 2, presented to the dermatology clinic for evaluation of a one-month history of a generalized asymptomatic rash. The patient had a history of poorly controlled Human Immunodeficiency Virus (HIV) infection with non-compliance to antiretroviral therapy, and prior chlamydia and gonorrhea infections. Additionally, she complained of a headache, which was unrelieved by aspirin, paracetamol, and caffeine. The patient denied vomiting, neck stiffness, tingling, numbness, or fatigue. Mucocutaneous examination revealed several ill-defined violaceous papules and plaques with peripheral scaling over her face, trunk, and extremities, including her palms and soles (Figure 1A). Additionally, there were multiple ill-defined healing erosions with peripheral serpiginous violaceous borders present in the buccal mucosa (Figure 1B). The lesions over the palms and soles were well-demarcated with a coppery hue (Figure 1C). Furthermore, there were well-defined violaceous papules over the labia majora (Figure 1D). Severe tenderness was elicited by applying gentle pressure to the lesions on the back.
![](https://www.infectiousjournal.com/wp-content/uploads/sites/6/2023/03/Schermata-2023-03-30-alle-15.18.43-1024x555.jpg)
What is the diagnosis?
A) Subacute Cutaneous Lupus Erythematosus
B) Rocky Mountain Spotted Fever
C) Lichen Planus
D) Secondary Syphilis
![](https://www.infectiousjournal.com/wp-content/uploads/sites/6/2023/03/Schermata-2023-03-30-alle-15.18.43-1024x555.jpg)
What is the diagnosis?
A) Subacute Cutaneous Lupus Erythematosus
B) Rocky Mountain Spotted Fever
C) Lichen Planus
D) Secondary Syphilis
To cite this article
Photoquiz: Generalized violaceous papulosquamous eruptions in an HIV-positive female
Infectious Diseases and Tropical Medicine 2023;
9: e1097
DOI: 10.32113/idtm_20233_1097
Publication History
Submission date: 18 Sep 2022
Revised on: 25 Sep 2022
Accepted on: 01 Feb 2023
Published online: 30 Mar 2023
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