Healed secondary penile lesions in a 30-year-old cisgender man with HMPX.
Located on the foreskin overlying the base of the penile shaft are two healed lesions, imaged at lesion day 18. The lesion on the right of this image was initially 15-mm and has healed with hypopigmentation and hypertrophy. The lesion on the left of this image was initially 10 mm and is now seen with scant scaling and is healing with hypopigmentation and minimal hypertrophy.
There was no history of immunocompromising conditions or medications. This man was on Truvada for HIV pre-exposure prophylaxis. He also received Imvamune for HMPX pre-exposure prophylaxis 3 days before illness onset.