|Year : 2016 | Volume
| Issue : 4 | Page : 348-349
Sk India Quiz 26: Hypopigmented papules in a human immunodeficiency virus-positive patient
Lalit Kumar Gupta, Manisha Balai, Ashok Kumar Khare, Asit Mittal
Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India
|Date of Web Publication||5-Jul-2016|
Lalit Kumar Gupta
Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur - 313 001, Rajasthan
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Gupta LK, Balai M, Khare AK, Mittal A. Sk India Quiz 26: Hypopigmented papules in a human immunodeficiency virus-positive patient. Indian Dermatol Online J 2016;7:348-9
|How to cite this URL:|
Gupta LK, Balai M, Khare AK, Mittal A. Sk India Quiz 26: Hypopigmented papules in a human immunodeficiency virus-positive patient. Indian Dermatol Online J [serial online] 2016 [cited 2020 Apr 9];7:348-9. Available from: http://www.idoj.in/text.asp?2016/7/4/348/182402
A 40-year-old human immunodeficiency virus. (HIV)-positive male presented with one year history of multiple, asymptomatic, hypopigmented lesions on upper limb and trunk. The patient was on zidovudine, lamivudine, and nevirapine for 9. months. His CD4 count was 92. cells/mm3. Physical examination showed scaly, discrete to confluent papules of 1-3. mm size and distributed symmetrically on shoulder, arms and trunk [Figure 1]a. Koebnerization was evident at some places. Some of the confluent lesions had figurate morphology [Figure 1]b. None of the family members had similar lesions. Potassium hydroxide examination of scraped hypopigmented skin lesions did not show fragmented hyphae. Histopathology showed broad plate like epidermal hyperplasia with focal hypergranulosis and several vacuolated cells (koilocytes) with abundant pale cytoplasm in the upper spinous layer [Figure 2]a,[Figure 2]b.
| Question|| |
What is your diagnosis?
| References|| |
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[Figure 1], [Figure 2]