A 32-year-old female resident of a remote northern community in Canada who was known to be human immunodeficiency virus (HIV) positive for 6 years and not receiving antiretroviral therapy presented with multiple cutaneous lesions that had gradually developed over the previous year. She reported no history of travel, had no pets, and denied having fevers, chills, night sweats, or cough. Her medical history included occasional vomiting and diarrhea as well as increasing lethargy and somnolence. She noted that all her children had had head lice in the preceding year.
Barankin B, Houston S, Alanen K, Ting PT, Lauzon G. Crusted Plaques in an Immunocompromised Host—Quiz Case. Arch Dermatol. 2005;141(2):263-268. doi:10.1001/archderm.141.2.263-f