MEDizzy - A 36-year-old man with HIV/AIDS (CD4 lymphocyte count

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Infection causing diseases 2

A 36-year-old man with HIV/AIDS (CD4 lymphocyte count 112/μL) develops a scaly, waxy, yellowish, patchy, crusty, pruritic rash on and around his nose. The rest of his skin examination is normal. Which of the following is the most likely diagnosis?

ExplanationSeborrheic dermatitis is a common inflammatory skin condition that can occur in individuals with HIV/AIDS. It is characterized by scaly, waxy, yellowish, patchy, crusty, and pruritic rashes. The rash typically affects areas rich in sebaceous glands, such as the scalp, face (including the nose), eyebrows, and ears. Seborrheic dermatitis is more common in immunocompromised individuals, including those with HIV/AIDS. Molluscum contagiosum (choice A) is a viral skin infection that presents as small, flesh-colored, dome-shaped papules. Kaposi sarcoma (choice B) is a type of cancer commonly associated with HIV/AIDS, characterized by purplish or reddish-brown skin lesions. Psoriasis (choice C) is a chronic autoimmune skin condition that presents with thick, scaly, red plaques on the skin.Given the specific features of the rash described in the scenario, seborrheic dermatitis is the most likely diagnosis. However, it is important to consult a healthcare professional for an accurate diagnosis and appropriate management.