#DiagnosticDilemma: What is your take on this case?
A 34-year-old man with acquired immunodeficiency syndrome (AIDS) presented with 2 years of pruritic, slowly growing lesions after discontinuation of all antiviral medications.

On examination, he had a cobblestoned, dark brown plaque on the perioral cutaneous and mucosal lip and 2 large annular brown plaques with heaped-up mounds of scale and violaceous rims on the right shin and posterior thigh with a smaller similar lesion on the scrotum. A skin biopsy of the perioral and right thigh plaques found a lichenoid infiltrate with numerous plasma cells.

What is the diagnosis?

A. Psoriasis
B. Majocchi granuloma
C. Rupioid syphilis
D. Hypertrophic lichen planus
E. Lobomycosis

The answer to be disclosed shortly!

Source: JAAD case reports
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U●●y s●●●r
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