Secondary scabbed lesion in a 36-year-old cisgender man with HMPX, imaged at lesion day 14.
Located on the scalp is a 10-mm early scab with minimal surrounding erythema. Part of a secondary crop of lesions, this lesion developed on illness day 5, was mildly pruritic and tender, and was accompanied by the simultaneous onset of numerous similar lesions on the face, torso, genitals, and bilateral upper extremities. This lesion was healed by lesion day 17.
His illness began as a single pustular lesion on the right fourth finger, followed by systemic symptoms (fever, chills, sweats, fatigue, myalgias, arthralgias, and back pain) on illness day 4.
There was no history of immunocompromising conditions or medications. This man was on Truvada for HIV pre-exposure prophylaxis.