Recently, increasing numbers of young homosexual men with a fulminant form of Kaposi's sarcoma have been described.1,2 We report herein a case of a young homosexual man with Kaposi's sarcoma, chronic perianal and nasolabial ulcerating herpes simplex infection, oral candidiasis, and immunodeficiency, presumably acquired.
Report of a Case
In December 1980, a 22-year-old Hispanic homosexual man residing in New York City was hospitalized for a six-month history of weight loss and fever. Physical examination disclosed a man with cachexia, oral mucosal white pseudomembranous plaques, generalized adenopathy, and splenomegaly. Physical examination findings were otherwise normal. Laboratory studies disclosed the following values: WBCs, 3,200/cu mm; hemoglobin, 10g/dL; ESR, 109 mm/hr; hepatitis B antigen test, negative; and hepatitis B antibody test, positive. Pharyngeal culture for yeasts showed the presence of Candida albicans. Chest x-ray films showed a nonspecific infiltrate in the right upper lobe. However, Pneumocystis carinii was not detected in the
Dotz WI, Berman B. Kaposi's Sarcoma, Chronic Ulcerative Herpes Simplex, and Acquired Immunodeficiency. Arch Dermatol. 1983;119(1):93-94. doi:10.1001/archderm.1983.01650250097027