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?
B. Majocchi granuloma
C. Rupioid syphilis
D. Hypertrophic lichen planus
The answer to be disclosed shortly!
Source: JAAD case reports