Derm Dx: Anogenital ulcerations in a female with HIV/AIDS

A 23-year-old female presents to the ED with a 6-month history of exquisitely painful genital ulcers. The patient reports that she initially developed a small white pustule that broke and then formed ulcers around her labia minora. She continued to have multiple ulcers around her genital region that would heal and reappear.

During the past month the ulcerations became ...