Secondary healed lesion

Secondary healed lesion in a 33-year-old cisgender man with HMPX and well-controlled HIV on Biktarvy, imaged at approximately lesion day 19.

Located on the left anterior knee is an 8-mm nontender, nonpruritic healed lesion that is flat with central hypopigmentation and a peripheral rim of hyperpigmentation. This lesion, part of a secondary crop of lesions, developed on illness day 9, progressed through the stages of macule, pustule, and ulcer and then crusted by lesion day 10 before desquamating to reveal the healed lesion imaged here.