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September 1994

Asymptomatic Vesicles in a Patient With the Acquired Immunodeficiency Syndrome

Author Affiliations

Keesler Air Force Base, Miss

Arch Dermatol. 1994;130(9):1193-1194. doi:10.1001/archderm.1994.01690090125020

REPORT OF A CASE  A 57-year-old bisexual man with a history of acquired immunodeficiency syndrome (AIDS) presented to the outpatient clinic with a complaint of blisters on his arms, back, and abdomen. The lesions began appearing 1 week earlier and were not painful or pruritic. He also complained of occasional chills, cough, and weight loss over the past 2 months. He denied any fever, sweats, or other constitutional symptoms. His history was significant for Pneumocystis carinii pneumonia 2 months previously and seborrheic dermatitis for the past year. Medications included zidovudine, sulfamethoxazole and trimethoprim, an inhaler (Atrovent), cimetidine, and ketoconazole cream.Physical examination revealed the patient to be afebrile. The funduscopic examination was normal; no oral lesions were noted. The skin examination revealed clear, noninflammatory vesicles ranging from 4 to 10 mm in diameter. There was a single vesicle on the inner aspect of each forearm (Figure 1), two vesicles on

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