We report on an HIV-infected, immunocompetent male Caucasian patient w
ith an unusual, mildly pruritic, flesh-colored or red to blue, pinhead
-sized papular eruption clinically consistent with pruritic papular er
uption of HIV-infection. In several biopsies, features suggestive of p
ruritic papular eruption of HIV-infection and of lichen nitidus were f
ound. We suggest that inflammatory dermatoses with clear diagnostic fe
atures in otherwise healthy individuals may present as pruritic papula
r eruption in HIV-infection.