Image Gallery: Acroangiodermatitis or pseudo‐Kaposi sarcoma: two cases in patients with paralyzed legs

Abstract

Dear Editor, We present two patients, a 48-year-old woman, paraplegic since a childhood accident, and a 60year-old quadriplegic man with secondary progressive multiple sclerosis. Physical examination showed purple papules on the dorsal surface of the toes and forefoot, which had first appeared 1 year previously. Doppler ultrasound of the lower extremities showed venous insufficiency, without arteriopathy. Histopathological examination (hematoxylin-eosin) 910 revealed fibrous dermis, an increased number of dilated ectatic vessels with nontypical endothelial cells (CD34 + and human herpesvirus-8 negative). Acroangiodermatitis or pseudo-Kaposi sarcoma is a rare and benign complication of chronic venous insufficiency. 1 Lower limb paralysis is a frequent promoting factor, 2 as in our patients with spinal cord neurological involvement.

Pseudo-Kaposi’s Sarcoma: A Rare Case and Review

“…12 The primary treatment for varicose veins involves using elastic bandages, while compression therapy is the primary treatment for venous insufficiency. 13 Other treatment options for pseudo-Kaposi's sarcoma include vein surgery, sclerotherapy, high ligation, valve grafting, and reconstruction. In cases of ulceration or infection, symptomatic treatment is available, and localized small nodules can be treated through freezing or surgery.…”