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May 1990

Simultaneous Occurrence of Kaposi's Sarcoma and Cryptococcus Within a Cutaneous Lesion in a Patient With Acquired Immunodeficiency Syndrome

Author Affiliations

4340 Sheridan St Hollywood, FL 33021

Department of Dermatology State University of New York-Health Science Center at Brooklyn 450 Clarkson Ave Brooklyn, NY 11203-2098

Arch Dermatol. 1990;126(5):683-684. doi:10.1001/archderm.1990.01670290131028

To the Editor.—  A variety of dermatoses, both infectious and noninfectious, may be seen in patients with the acquired immunodeficiency syndrome. Among the more common are Kaposi's sarcoma and cutaneous cryptococcosis. We report the second case in which both are seen histologically within the same cutaneous lesion.1

Report of a Case.—  A 39-year-old black Haitian man was admitted to the hospital with a 1-month history of fevers, chills, dyspnea, headaches, anorexia, skin lesions, and painful swelling on the right side of the groin. On examination, the patient had a temperature of 40°C. He had marked fluctuant swelling on the right side of the groin, with lymphadenopathy also noted on the left side of the groin and in the anterior cervical area. Infiltrated violaceous hyperpigmented plaques were noted on the dorsal and plantar aspects of both feet, the legs, and the right hand. Smaller plaques and papules were scattered

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