Secondary healed lesion IP right

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File Number:203003
Date of Image Capture:13/07/2022

Secondary healed lesion in a 60-year-old cisgender man with HMPX and well-controlled HIV on Genvoya and Prezista, imaged at lesion day 14.
Located in the interdigital web of the right dorsal hand is a 10-mm nontender, nonpruritic lesion with a rim of fine peripheral scales after the crust desquamated. This lesion, part of a secondary crop of lesions, developed 16 days after illness onset, and was initially pruritic but nontender.

This lesion was preceded by initial symptoms of right periauricular pain, headache, fever, chills, and malaise on day 1, tender bilateral inguinal lymphadenopathy on day 2, perioral and exquisitely tender and pruritic perianal lesions on day 5, and over the next week, lesions appearing on the trunk, extremities, and genitals.


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