and 2 weeks of rectal pain and bleeding. He reported anoreceptive intercourse with a male
partner 3 weeks prior. His most recent CD4 count from 6 weeks prior was 693 cells/mm3.
Physical examination revealed papular lesions on his face, trunk, arms, and buttocks (Figure
A). He had no perianal lesions but experienced exquisite tenderness with digital rectal
examination. Computed tomography of the pelvis demonstrated rectal wall thickening with …