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June 1963


Arch Dermatol. 1963;87(6):768-776. doi:10.1001/archderm.1963.01590180096023

Kaposi's Hemorrhagic Sarcoma With Bullae. Presented by Dr. George C. Andrews.

History.—The patient has had recurrent nodules on both lower extremities for the past six years. Biopsy of these has shown Kaposi's hemorrhagic sarcoma.

The soles were studded with innumerable vesicles and were exfoliative. Fungus examination was positive with mycelium. Fungus examination from the palms, which were also vesicular, was positive. Cultures grew Candida albicans from the soles and between the toes but showed no growth of fungus from the palms.

The patient is presented because the condition has been complicated by large blisters which have occurred on the ankles, lower parts of the legs, and sides of the feet. These bullae were sometimes hemorrhagic and measured 2-4 cm in diameter. In these bullae, it was never possible to demonstrate fungi.

Periodic acid-Schiff (PAS) stain of biopsies of the bullae revealed spores and possible remnants of fungi in the

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