Pseudo-Kaposi Sarcoma (Acroangiodermatitis) Clinical Presentation

Updated: Jan 08, 2018
  • Author: Zoltan Trizna, MD, PhD; Chief Editor: Dirk M Elston, MD  more...
  • Print
Presentation

History

A history of venous stasis, arteriovenous shunt for hemodialysis, or a long-standing arteriovenous malformation is usually present. A limb prosthesis may be present. Patients occasionally experience pruritus and pain.

Next:

Physical Examination

Confluent, violaceous or brown-black papules cover large areas of the distal parts of the legs. Ulceration and bleeding are sometimes noted. Bilateral lesions are usually associated with chronic venous insufficiency, whereas unilateral lesions suggest an underlying vascular malformation. [10]  Note the images below.

The physical findings in this patient who is HIV n The physical findings in this patient who is HIV negative remained the same over a 3-year period.
Lesions on the shin of a patient who is HIV negati Lesions on the shin of a patient who is HIV negative.
Classic Kaposi sarcoma on the foot of an elderly p Classic Kaposi sarcoma on the foot of an elderly patient who is HIV negative. Compare this photo to the clinical photos of acroangiodermatitis.
Previous
Next:

Complications

Complications include ulceration, bleeding, and infection; these conditions may also be related to the underlying problems.

Previous