07 Apr

Acute HIV exanthem and enanthem

In acute primary HIV infection, a rash may develop along with a mononucleosis-like illness. The rash may be exanthematous or pityriasis rosea-like, usually does not itch, is distributed over the upper trunk and proximal limbs, and may involve palms and soles. An associated enanthem of oral erythema or superficial erosions may be present. The exanthem and enanthem spontaneously resolve within 1 to 2 weeks.

Detection of HIV antigen by enzyme immunoassay may confirm the diagnosis of acute HIV infection in HIV-antibody-negative persons.

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