An HIV-positive black man developed subcutaneous noduli in the framework of a lymphangioma-like variant of Kaposi’s sarcoma. Extensive lymphedema formation also occurred on the legs, face and hands. Treatment with α-interferon led to partial regression of Kaposi’s sarcoma and the lymphedema.

A patient is described who developed hyperkeratotic, hyperpigmented plaques, similar to acanthosis nigricans in re-epithelializing erosions of pemphigus foliaceus. The lesions regressed completely after a few months. This phenomenon can be attributed to a Köbner phenomenon after epidermal damage or can be a result of systemic corticosteroid therapy.

SummaryAir plethysmography (APG) was compared with clinical assessment and light reflection rheography (LRR) in 68 patients with venous insufficiency (129 limbs). The aim of this study was to investigate the possibilities and limitations of this device for general phlebological practice. Out of the 68 patients, 9 were not able to perform the total investigation protocol (13%). The reflux measurement and the ejection capacity of the calf muscle pump correlated well with severe venous disease, but poorly with mild or absent signs of venous insufficiency. Abnormal refill time measured with LRR was in accordance in 82% with increased reflux with APG. A normal refill time was only correlated in 60% of the cases with a normal reflux APG test. It was not possible to distinguish between deep and superficial insufficiency. It is concluded that APG did not turn out to be the handy method for quick and accurate screening of venous insufficiency patients. Its place in the clinical evaluation for venous patients is not yet clear.

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