A Puzzling Umbilicated Papule

A patient with a low CD4 count develops a new umbilicated facial papule. Explore the differential diagnosis for this Opportunistic Infection.

Cryptococcosis


What is the cause of this new skin lesion in this patient whose blood CD4+ cell count was 20 per cubic millimeter (1%) following treatment for chronic lymphocytic leukemia?

What is the most likely diagnosis?

Bacillary angiomatosis
Bullous impetigo
Cryptococcosis
Kaposi’s sarcoma
Verruca vulgaris

Cryptococcosis, Cryptococcus neoformans, Immunocompromised Host, Low CD4 Count, Umbilicated Papule

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