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Jeffrey S. Newman, MD, PhD; Maxwell A. Fung, MD
University of California at Davis Medical Center, Sacramento

Arch Dermatol. 2008;144(7):933-938.

	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 34-year-old human immunodeficiency virus (HIV)– and hepatitis C–positive man developed disfiguring nodules on his feet, hands, and knees over a 3-month period. The individual lesions were asymptomatic; however, the bulkiness of the lesions on his feet impeded ambulation. His CD4 lymphocyte count was 170/µL (reference range, 490/µL-1740/µL), and his HIV viral load was more than 10⁵ copies/µL. Serologic tests were negative for serum cryptococcal antigen and rapid plasmin reagin. His medications were tenofovir plus emtricitabine, atazanavir, trimethoprim-sulfamethoxazole, fluconazole, paroxetine hydrochloride, venlafaxine, methadone, and fentanyl.

Physical examination revealed firm, pink nodules involving both the plantar and dorsal surfaces of the feet and toes (Figure 1 and Figure 2). Similar-appearing nodules were evident over the knees, and there were small pink nodules on the dorsum of the left hand. A large nodular lesion from the left knee (not depicted but . . . [Full Text of this Article]

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