case_images: PMC8581772_01
case_images: Erythematous mass over right mandibular area.
case_images: 10.1177_2050313X211057923-fig1.jpg
case_images: PMC8581772_01_10.1177_2050313X211057923-fig1.jpg
case_images: fig1-2050313X211057923
case_images: CD4+ count and an undetectable viral load. Clinical examination showed a 5 by 5 cm erythematous mass with a rough surface and a few draining sinuses over the right mandibular area (Figure 1).
case_images: Squamous-lined cystic structure at the deep skin biopsy edge compatible with a sinus tract.
case_images: 10.1177_2050313X211057923-fig2.jpg
case_images: PMC8581772_01_10.1177_2050313X211057923-fig2.jpg
case_images: fig2-2050313X211057923
case_images: Skin biopsy showed a squamous-lined cystic structure at the deep biopsy edge compatible with a sinus tract (Figure 2).
case_images: Flesh-colored indurated plaque with marked cribriform scarring.
case_images: 10.1177_2050313X211057923-fig3.jpg
case_images: PMC8581772_01_10.1177_2050313X211057923-fig3.jpg
case_images: fig3-2050313X211057923
case_images: He was treated with oral doxycycline 100 mg PO BID for 2 months, and when reassessed, the morphology of the lesion had markedly changed (Figure 3) to a flesh-colored indurated plaque with marked cribriform scarring.