All viral infections are more common and, depending on the degree of immunodeficiency caused by the HIV infection, the clinical presentation may vary from classical to atypical. Atypical presentations include multidermatomal herpes zoster, chronic ulcers due to herpes simplex and recalcitrant or extensive warts. Molluscum contagiosum umbilicated papules may enlarge and extend down hair follicles.
Cutaneous disease resulting from herpes virus infection includes:
- Primary varicella zoster virus (VZV) infection
- Dermatomal herpes zoster (HZ) from endogenous latent VZV reactivation
- Chronic cutaneous and mucocutaneous ulcers caused by herpes simplex virus (HSV)
- Disseminated papules of cytomegalovirus (CMV) infection
- Oral hairy leukoplakia and Epstein-Barr virus