case_images: PMC5881977_01
case_images: (a, b) Maculo-papular rash on volar aspect of both forearms; (c) purplish, opaque, rough, vertically ridged, plaque-like lesions on the left hand index finger; and (d) same lesion type on the right hand little finger.
case_images: 10.1177_2050313X18767229-fig1.jpg
case_images: PMC5881977_01_10.1177_2050313X18767229-fig1.jpg
case_images: fig1-2050313X18767229
case_images: At that time, the patient's CD4 count was 505/microL and the viral load was <20 copies/mL. A physical examination evidenced an enlarged left inguinal lymph node, hepatosplenomegaly, and a barely discernible macular, pink rash on the trunk not involving the palms and soles, coexisting with maculo-papular lesions localized on the proximal volar aspect of both forearms (Figure 1(a) and (b)). There was no discernible involvement of the periungual skin (Figure 1(c) and (d)).
case_images: Following the administration of penicillin: (a) resolution of nail lesions and (b) linear scar on the right little finger.
case_images: 10.1177_2050313X18767229-fig2.jpg
case_images: PMC5881977_01_10.1177_2050313X18767229-fig2.jpg
case_images: fig2-2050313X18767229
case_images: Five months from the end of therapy, the fingernails were free of disease, with the exception of a linear scar on the left little fingernail (Figure 2(a) and (b)), and all the abnormal blood test, including the liver enzymes, resulted normal.