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Herpes vegetans on the shoulder mimicking nonmelanoma skin cancer.

Authors
  • Ho, Bao Vincent K1, 2
  • Puar, Neha K1
  • Seger, Edward W1
  • Rajpara, Anand1
  • 1 Division of Dermatology, University of Kansas Medical Center, Kansas City, KS, USA.
  • 2 School of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Type
Published Article
Journal
IDCases
Publication Date
Jan 01, 2022
Volume
28
Identifiers
DOI: 10.1016/j.idcr.2022.e01502
PMID: 35479108
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Atypical morphologic and anatomic presentations of herpetic infection can be a diagnostic and therapeutic challenge. Although herpes simplex virus type 2 (HSV-2) infections primarily occur in the oral or anogenital region, our patient presented with ulcerated vegetative plaques on the shoulder sharing clinical features with nonmelanoma skin cancer (NMSC). Depending on the clinical appearance and anatomical site, proper workup including biopsy can be pivotal to arrive at a correct diagnosis as lesions can mimic a broad spectrum of cutaneous diseases, particularly if the lesion occurs in an atypical location. Dermatology providers should include HSV-2 in the differential diagnosis when challenged with unusual ulcerated or verrucous lesions. © 2022 The Authors.

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