Herpes vegetans, an atypical herpes lesion in HIV patient: A case report

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Abstract

Herpes vegetans is a rare form of Herpes simplex virus (HSV) infection in immunocompromised patients that clinically presents as a verrucous and hypertrophic lesion. In this case, we present a 36-year-old man with exophytic verrucous masses in the genital area that was initially suspected as a malignancy. Difficulty to properly diagnose the patient resulted in a few failed attempts at treating the lesion. After excluding other differential diagnoses, the atypical lesion proved to be caused by vegetative herpes infection due to a good response to HSV therapy. Reevaluation of biopsy also showed signs of HSV etiology. Atypical presentation of herpes simplex in immunocompromised patients still proves to be a challenge to diagnose and treat. Proper clinical identification and workup are needed to diagnose and to choose proper regiments.

Original languageEnglish
Article number9180
JournalDermatology Reports
Volume14
Issue number1
DOIs
Publication statusPublished - 14 Mar 2022

Keywords

  • Atypical Lesion
  • Herpes Vegetans
  • HIV
  • HPV

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