Enlarging purple pruritic nodules on the dorsal neck

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Enlarging purple pruritic nodules on the dorsal neck
Enlarging purple pruritic nodules on the dorsal neck

A 34-year-old African American man presented to our clinic for evaluation of enlarging purple nodules over his neck. The lesions, which had first appeared two months earlier, caused significant itching. A painful rash had preceded the nodules by about a month, but the eruption had resolved after about a week. The patient, who was HIV-positive, reported that his CD4 count had been stable on antiretroviral therapy. A physical examination revealed no other lesions or abnormalities. There was no family history of similar nodules. The patient wanted to know what could be done for these new lesions.

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