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July 2004

Perianal Ulcer in a Patient With AIDS—Diagnosis

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Dermatol. 2004;140(7):877-882. doi:10.1001/archderm.140.7.877-f

A skin biopsy specimen from the border of the ulcer demonstrated endothelial cell nuclear inclusions with a clear halo and cytoplasmic perinuclear inclusionsconsistent with CMV infection (Figure 3). These findings were confirmed by immunohistochemical tests for CMV antigen.Histologic and immunohistochemical studies revealed no evidence of HSV infection within or surrounding the ulcer.

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