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Liron Pantanowitz, MD; John Williams, MD, PhD; Xiaowei Xu, MD, PhD; Steven R. Tahan, MD
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass

Arch Dermatol. 2003;139:1647-1652.

	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 57-year-old man with advanced AIDS, arthritis, and bipolar disorder presented with mania and an acute onset of multiple tender subcutaneous nodules. A recent outpatient workup, for peripheral eosinophilia of 46% and pruritis, was unrevealing. The patient's most recent CD4 cell count was 3/µL, and his human immunodeficiency viral load was 236 486 copies/mL. He was taking oral sulfamethoxazole-trimethoprim (Bactrim) for pro-phylaxis of Pneumocystis carinii pneumonia. Examination revealed a cachectic man with a low-grade fever and numerous raised, 1- to 2-cm tender nodules distributed on his trunk, extremities, and buttocks. Most of the nodules were erythematous and had central crusted ulcers. Some coalesced to form a cordlike structure that extended from just above the patient's right areola to his sternal notch (Figure 1). Many molluscum contagiosum lesions and herpetic skin ulcers were also evident. . . . [Full Text of this Article]

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Tender Subcutaneous Nodules in a Patient With AIDS—Diagnosis
Arch Dermatol. 2003;139(12):1647-1652.
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