A 49 year old female presented to theoutpatient department of dermatology withraw areas in oral cavity and genitals. She had multiple reddish elevated lesions withpain and burning sensation all over body.Patient had complaints of watering from eyes, headache, fever,weight loss, left knee joint pain and burning micturition. Past history
of three similar episode was present. Nohistory of blood transfusion, IV drug abuse,tattooing, any sexual transmitted diseaseorany signicant family could be elicited. Noassociated comorbidities were elicited.Cutaneous examination revealed few shallow (6-8) erosions with an erythematous halo over tongue and left side of soft palate.
Figure1a Few deep erosions present over labiamajora, labia minora and vaginal mucosa.Figure 1b Multiple grouped vesicles, papulesand pustules present over nape of neck, chest,bilateral axilla, abdomen, back and rightleg. There were longitudinal ridges presentover nails of right foot. Ophthalmologic alexamination showed few erosions over left (3.4 mg/dl), and albumin to globulin ratio(0.89) was decreased. Rest of the investigations includingC reactive protein, electrolytes, liverfunction test, histogram, differential count,urea, creatinine and G6PD were normal. As
per the clinical features, blood reports andhistopathological examination, patient waslabelled as case of Bechet’s diseasein HIV patient.