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Michael A. Trauner, MD; Beth S. Ruben, MD; Sandra L. Hatcher, MSc; Monica A. Lawry, MD
University of California, Davis, School of Medicine, Sacramento

Arch Dermatol. 2002;138:527-532.

	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 58-year-old human immunodeficiency virus (HIV)-positive man presented with a 4-year history of an "irritated" and sometimes pruritic eruption on his groin. Examination revealed multiple scaly, erythematous, flat papules centrally coalescing into diffuse plaques involving the groin bilaterally (Figure 1). A potassium hydroxide preparation of a scale sample was negative for fungi. There was no inguinal lymphadenopathy. Laboratory tests revealed the following values: CD4 cell count, 187/µL; HIV RNA, 76 135 copies/mL. The patient did not respond to empirical treatment with low-, medium-, and high-potency topical corticosteroids, topical and oral antifungal agents, topical calcipotriene, selenium sulfide, benzoyl peroxide, or oral dicloxacillin. Skin biopsy specimens were obtained for histopathologic examination (Figure 2 and Figure 3).

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Epidermodysplasia verruciformis (EDV).

Routine hematoxylin-eosin staining of the biopsy specimens . . . [Full Text of this Article]

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