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Tropical/Infectoparasitary Dermatology • An. Bras. Dermatol. 96 (4) • May-Jun 2021 • https://doi.org/10.1016/j.abd.2020.12.005   copy

Tumor-like herpes simplex infection in an HIV patient☆☆ ☆☆ Study conducted at the Dermatology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

A 56-year-old male, HIV-positive, presented with a 3-day history of multiple indurated erythematous nodules with superficial and well-defined erosions on his right gluteus. Skin biopsy showed ballooning-necrotic keratinocytes and cultures were positive for herpes simplex 2. Genital herpes simplex infection recurrences may not be restricted to the anterior part of the genitalia and clinical presentation in the lumbar area or gluteus must be differentiated from varicella-zoster virus infection. Tumor-like presentation is a very rare manifestation of HSV cutaneous infection. It is important to take this morphological variant into consideration not to delay the diagnosis of a viral infection, especially in an immunosuppressed patient.

KEYWORDS
Herpes genitalis; Herpes simplex; HIV infections; Infections; Skin diseases

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