Abstract A 29-year-old man presented with a 6-week history of clustered facial papules. Of note, he had diagnosis HIV 5 months previously and was on maintenance antiretroviral treatment. His initial CD4 count 5, which increased to 38, his viral load now no longer detectable. He also been treated for cytomegalovirus reactivation, pneumocystis pneumonia suspected mycobacterium infection the previ...