Pseudo-Kaposi Sarcoma (Acroangiodermatitis) Treatment & Management

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

Medical Care

Because acroangiodermatitis is rarely reported, most of the treatment reports are of anecdotal nature. Oral erythromycin treatment led to improvement in 2 cases of pseudo-Kaposi sarcoma in patients who had acquired arteriovenous fistula from hemodialysis. Compression therapy led to nearly complete resolution of the lesions in 5 months. [15] Intermittent pneumatic compression therapy was also described. [16] A 3-month course of dapsone (50 mg PO bid) combined with leg elevation and elastic support stockings led to complete regression of the lesions in one patient with acroangiodermatitis. [17]

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Surgical Care

Surgical elimination of the shunts is curative in acroangiodermatitis accompanying arteriovenous malformations. Multiple, small fistulae can be destroyed individually or by embolization; however, the latter method can lead to ischemia and necrosis.

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Consultations

Consult a phlebologist for the management of the underlying vascular problems. Consult a physiotherapist for management of the underlying circulatory problem. If a limb prosthesis is present, evaluate its mechanical effect on the stump.

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Diet

If the patient is obese, losing body weight may improve the circulation of the extremities.

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Activity

Activity can be continued as allowed by the condition of the extremities and the underlying condition.

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Long-Term Monitoring

Further outpatient care depends on the underlying disease.

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