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Ruth A. Yates, MD; Kenneth Sabe, MD; Carmen Arzubiaga, MD; Stephen Raffanti, MD; Lloyd King, MD

Arch Dermatol. 1994;130(12):1556.

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

REPORT OF A CASE

A 31-year-old man with the acquired immunodeficiency syndrome (AIDS) presented with a 3-month history of a rapidly progressing painful lesion of the right shoulder. Initially an infectious cause was postulated, but cultures showed only a light growth of mixed gram-positive organisms and there was no clinical response to cephalexin.

His history was significant for a 3-year history of AIDS manifested by positive tests for the human immunodeficiency virus (HIV), recurrent candidiasis, herpes zoster, and AIDS dementia but no adenopathy or Kaposi's sarcoma.

Physical examination revealed a 5 x4-cm lesion of the right shoulder with central necrosis and a heaped-up smooth pearly border (Figure 1). There was no adenopathy.

A biopsy specimen at the edge of the lesion was obtained for both pathologic review (Figure 2 and Figure 3) and cultures.

What is your diagnosis?

Figure 1

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Figure 2

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Figure 3

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Rapidly Progressing Nodule in a Patient . . . [Full Text PDF of this Article]

Author Affiliations
Vanderbilt University, Nashville, Tenn

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