Rash on his chest and upper extremities

Reference no: EM133721869

Question

A 55-year-old man who is HIV positive presents to you with rash on his chest and upper extremities. He states that the rash has been present for 1 week and does not itch. He also complains of high fevers (103 °F) for 3 days and nausea, vomiting, night sweats, chills, poor appetite, and an unintentional weight loss of 5 pounds. He denies cough and chest pain, but he does state he has generalized abdominal pain. On examination, you note multiple red and purple papules and nodules on both his upper extremities and thorax, but the rash does not appear on his palms or soles. When manipulated, the lesions bleed profusely. There are no oral lesions. You also note bilateral axillary lymphadenopathy. Biopsy of a single lesion is performed and shows acute neutrophilic inflammation and capillary proliferation. What is the most likely diagnosis?

Reference no: EM133721869

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