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A 34-year old bisexual man with newly diagnosed human immunodeficiency virus type 1 (HIV-1) infection presented with a one-month history of anal and oral lesions. He recalled having had a lesion on the foreskin of his penis three months previously; it had cleared spontaneously. Physical examination revealed the warty, mucoid, plaque-like perianal lesions of condylomata lata as well as "snail-track" ulcerations in the mouth and on the lips and tongue. Generalized lymphadenopathy was present, but the patient had no rash, constitutional symptoms, or headache. The CD4 cell count was 437 per cubic millimeter, and the plasma HIV-1 viral load was . . . [Full Text of this Article] |
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