case_images: PMC10757234_01
case_images: Pink plaque on the left side of the scrotum with peripheral hyperpigmentation.
case_images: gr1.jpg
case_images: PMC10757234_01_gr1.jpg
case_images: fig1
case_images: An Asian male patient in his late 30s with an approximate 5-year history of HIV, currently on dolutegravir-lamivudine with undetectable viral load and CD4 count above 500, presented with pink plaques on the left side of the scrotum and left side of the penile base associated with mild pruritus and burning for at least 1 year (Fig 1).
case_images: Map of scouting biopsies. Specimens D and I positive for extramammary Paget disease. All other specimens negative for malignancy.
case_images: gr2.jpg
case_images: PMC10757234_01_gr2.jpg
case_images: fig2
case_images: During consultation for MMS, 10 additional scouting biopsies were obtained (Fig 2), including a repeat biopsy from a pink patch at the penile base (J).
case_images: PMC10757234_02
case_images: PMC10757234_03
case_images: Mohs defect (left panel). Six weeks after Mohs micrographic surgery with intermediate primary repair (right panel).
case_images: gr3.jpg
case_images: PMC10757234_03_gr3.jpg
case_images: fig3
case_images: CK7. Complete resection was obtained after 3 stages, and intermediate primary repair was performed the following day (Fig 3).