During the fourth month of HAART, the viral load was 68 copies/mL and the CD4 cell count was 278/µL. During the fifth month of HAART, the patient consulted a dermatologist for round skin lesions on the limbs and face, which had progressed over a 6-week period and had not improved with local antifungal treatment. Clinical examination revealed 4 round lesions that were well delimited, squamous, and moderately infiltrated. One of these lesions was on the face, between the eyes, and measured 1 cm in diameter. The other 3, which were on the internal aspect of the right forearm, on the internal aspect of the right ankle, and on the anterior aspect of the left leg, measured 3 to 5 cm in diameter. We observed a marked decrease in sensitivity to heat and pain in the vicinity of the skin lesions. This decrease in sensitivity was associated with a hypertrophy of the cubital and popliteal sciatic nerves, but there were no signs of deficiency along the distribution of either nerve. Pathological examination of 1 of the skin lesions provided evidence of a tuberculoid infiltration in contact with the epidermis, causing erosion of the epidermis. There were numerous giant cells and lymphocytes in the granuloma and signs of vasculitis. Ziehl-Neelsen staining provided no evidence of acid/alcohol–resistant bacilli.