Dizziness And Rash In An HIV Positive Man

A 32-year-old HIV-positive man presented with dizziness, weight loss, unsteady walking, loss of eyebrow hair, and an itchy rash. Examination revealed an ataxic gait, a generalized scaly maculopapular rash, and irregular ulcers on the hard palate. The most likely diagnosis was secondary syphilis with neurological involvement, as other conditions like guttate psoriasis, mycosis fungoides, leprosy, primary toxoplasmosis, and viral infections were considered but did not fully explain the symptoms.