Herpes progenitalis can present in bizarre ways when seen in conjunction with altered immune status. In the recent past, a small number of individuals have been described with herpes vegetans, an exophytic, proliferative lesion that resembles either a verrucous or malignant growth. This phenomenon can occur on the digits, genitalia or perioral skin. We present a case of a vegetating penile plaque attributed to herpesvirus in an HIV-positive patient.
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Patel et al. (2008) studied this question.