HOW TO TREAT 31
ausdoc. com. au 19 SEPTEMBER 2025
HOW TO TREAT 31
Figure 5. Palatal Kaposi sarcoma.
Figure 7. Multi-dermatomal shingles.
Photo: Alamy
Photo: Alamy Dermnet NZ / bit. ly / 3UOj1rk
Photo: Alamy
Figure 6. Psoriasis. Figure 8. Oral hairy leukoplakia.
Box 4. Support for new diagnosis of HIV
• Effective clinical management, including access to specialist centres and treatment.
• Psychological support.
• Counselling about prevention of HIV transmission to others.
• Support to ensure that all partners or contacts at risk are identified and tested for HIV.
• Linkage to relevant specialist, community and peer support services.
CASE STUDIES
Case study one
ANDREW, a 24-year-old Australian heterosexual cis-gender male, presents to his GP with a painful rash affecting his back. This has been present for the past three days.
There is no history of recent illness or vaccination, but Andrew reports he has been stressed at work lately. He has also noted that his seborrhoeic dermatitis has recurred, with non-itchy scale and erythema of his forehead and eyebrows. Andrew first presented with seborrhoeic dermatitis( see figure 10) two years ago, when he was treated with topical ketoconazole cream and a non-soap cleanser, with good response.
There is a past medical history of anxiety and depression, and the only medication Andrew is currently taking is a multivitamin. There is no relevant family history. Andrew is working as an IT technician. He has been in a relationship with a cis-gendered female partner for nearly two years.
On examination, there are features suggestive of herpes zoster virus infection affecting the T1 and
Figure 9. Cervical lymphadenopathy.