Acute HIV infection presenting as erythema multiforme in a 45-year-old heterosexual man

Ian J Woolley and Tony M Korman
Med J Aust 2015; 203 (3): . || doi: 10.5694/mja15.00334
Published online: 3 August 2015

Ma and colleagues have provided an excellent description of an unusual presentation of HIV infection, erythema multiforme, in a heterosexual man.1 This “lesson from practice” comes in a long line of similar salutary cases published in the Journal, where we are reminded that HIV infection is not only seen in key populations — predominantly men who have sex with men (MSM) — in Australia. These have included the elderly,2 female returned travellers3 and heterosexual middle-aged men.1 In 2014, about 30% of new HIV infection diagnoses in Australia were not in individuals identified as MSM.4 In our cohort those who present late (with a low CD4 lymphocyte count) are less likely to self-identify as MSM.

  • Monash Health and Monash University, Melbourne, VIC


Competing interests:

No relevant disclosures.

  • 1. Ma JHY, Smith S, Gordon LA. Acute HIV infection presenting as erythema multiforme in a 45-year-old heterosexual man. Med J Aust 2015; 202: 273-274. <MJA full text>
  • 2. Smibert OC, Ananda-Rajah M, O’Brien J, Visvanathan K. Age: HIV knows no boundary. Med J Aust 2014; 201: 481-482. <MJA full text>
  • 3. Morrissey CO, Woolley IJ, Mijch A, et al. Febrile illness in a returned traveller: could it be primary HIV? Med J Aust 2001; 175: 172.
  • 4. The Kirby Institute. HIV in Australia: annual surveillance report 2014 supplement. (accessed Jul 2015).
  • 5. Moyer VA; US Preventive Services Task Force. Screening for HIV: US Preventive Services Task Force recommendation statement. Ann Intern Med 2013; 159: 51-60.


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