Sinus complaints are very frequent in these patients.
Patient complains of epistaxis, or nasal pain.
Also, general malaise, aching or pressure behind the eyes, and toothache-like pain. Suspect ITP if platelet count is low, and bleeding is difficult to control. HSV appears as painful, ulcerated vesicles of the nasal mucosa. Infection of one or more of the parasinuses is a common ENT complaint in HIV infection. Chronic sinusitis may be a sign of disseminated microsporidiosis.