Skin Clues in Severe Immunosuppression

A 60-year-old man with advanced HIV presents with unusual facial and eyelid lesions. Explore the diagnosis of these dome-shaped, Umbilicated Papules.

Molluscum contagiosum


A 60-year-old man with HIV presented to the ophthalmology clinic with eyelid and facial lesions. His CD4 cell count was 20 per cubic millimeter and his HIV viral load was 120,000 copies/ml. Physical exam showed numerous dome-shaped papules with central umbilication. What is the most likely diagnosis?

What is the most likely diagnosis?

Basal-cell carcinoma
Cryptococcosis
Histoplasmosis
Molluscum contagiosum
Verruca vulgaris

Dermatology, HIV, Immunosuppression, Molluscum contagiosum, Poxvirus

Leave a Comment