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Cutaneous lesions in a patient with HIV: do not forget the GI tract!
  1. Sasha Shoba Devi Thrumurthy1,
  2. Kok Pun Chen2,
  3. Nicholas Wee Chong Koh3,
  4. Alyssa Shin Yee Sim2
  1. 1 Department of Gastroenterology & Hepatology, Woodlands Health, Singapore
  2. 2 Department of Gastroenterology & Hepatology, Tan Tock Seng Hospital, Singapore
  3. 3 Department of Pathology, Tan Tock Seng Hospital, Singapore
  1. Correspondence to Dr Sasha Shoba Devi Thrumurthy, Department of Gastroenterology & Hepatology, Woodlands Health Campus, 768024, Singapore; sasha.thrumurthy{at}

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A 42-year-old man presented to the emergency department with a 1-week history of fever, abdominal pain and diarrhoea with haematochezia. A medical history was significant for untreated AIDS, which he has had for the past 9 years. The only opportunistic infection that he has had in the past was pneumocystis pneumonia. Prior upper and lower endoscopic evaluation for weight loss in 2018 was unremarkable. On examination, he had multiple purple erythematous nodules over his limbs and tongue (figure 1). Abdominal examination was unremarkable. Investigations demonstrated macrocytic anaemia, thrombocytopaenia, HIV viral load 90 900 copies/mL (4.96 log) and a CD4-count of 34 cells/µL. …

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  • Contributors SSDT drafted and edited the manuscript. KPC provided overall clinical supervision. ASYS performed the endoscopic procedures and edited the manuscript. NWCK provided help with the histology component of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.