A Case of Sarcoma Kaposi Classic Type

    G. Mateev¹, V. Mateeva²
    ¹Department of Dermatology and Venereology, Alexandrovska Hospital – Sofia
    ²Department of Dermatovenerology and Allergology, Military Medical Academy – Sofia

    Sarcoma Kaposi (SK) is a multifocal vascular neoplasia with for major clinical variants: classic SK, African or endemic SK due to iatrogenic immunosuppression and AIDS-related or epidemic SK. Cutaneous lesions vary from erythematous patches to dark violet patches and nodules. Typical morphological types include localized nodular types, locally aggressive type and generalized lymphadenopathic SK. The histological picture varies according to the stage of the disease and is but is reported similar for the clinical subtypes. Human herpes virus 8 (HHV8) is implicated in the pathogenesis of SK.
    We present the case of a 81-year-old woman with erythematous-violaceous exophytic tumoral lesions on her lower legs, hands and palms since 1,5 years. The clinical, histological and immunohistochemical diagnosis of SK-lymphangiomatous type has been established. The patient was HIVegative. Local therapy with liquid nitrogen has been initiated every 2 weeks. After 3 sessions the size and infiltration of the lesions have diminished considerably.

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