This 24-year-old man presents with generalised rash of 5 days duration. There is no history of fever or URTI symptoms or joint pains. The rash are present on predominantly on his limbs, palms, soles, abdomen and genitalia. The rash are neither painful nor itchy. He was diagnosed with HIV + 6 months earlier while undergoing an annual medical check up but is not on HAART as his CD4 is >600 cells/uL. He admits to engaging in MSM activities. On examination, other than the rash, he has some ulcers in the oral mucosa.
Below are his pictures:
Questions:
1. What is the most likely diagnosis?
2. How will you confirm the diagnosis?
3. Once the diagnosis is confirmed, what bedside procedure will you offer this man before starting treatment?
Mon, 291208 @ 0700
