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CPT Michael E. Murphy, MC, USA; MAJ Andrew Montemarano, MC, USA
Walter Reed Army Medical Center (Dr Murphy) and Walter Reed Army Institute of Research (Dr Montemarano), Washington, DC

Arch Dermatol. 2002;138:117-122.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 41-year-old African American woman presented with an 8-day history of fever, diarrhea, headache, and a nonproductive cough. Five days before admission, she noted an exanthem that had started on her face and had spread to involve her upper extremities and trunk.

A cutaneous examination revealed multiple minute vesiculopustules with surrounding dusky erythema distributed mainly on the face and upper trunk area (Figure 1), with scattered lesions on the upper extremities. Examination of the oral mucosa revealed soft palatal petechiae and an aphthouslike ulcer on the mucosa of the upper lip. Prominent anteroposterior cervical lymphadenopathy was palpable. The palms and soles were spared. A punch biopsy specimen was obtained (Figure 2).

Figure 1.

Figure 2.

What is your diagnosis?

Diagnosis: Cutaneous eruption of acute human immunodeficiency virus (HIV).

Histopathologic examination of a punch biopsy specimen showed superficial and deep dermal lymphohistiocytic inflammation, with a . . . [Full Text of this Article]

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