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September 1965


Arch Dermatol. 1965;92(3):331-332. doi:10.1001/archderm.1965.01600150121027

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(Early) Multiple Idiopathic Hemorrhagic Sarcoma of Kaposi. Presented by Drs. Gordon MacDonald and John Burket. 

Patient.—  A 64-year-old, white Scandinavian male.

Present Illness.—  A 3-month history of an asymptomatic eruption of the left index finger, and a similar, but less severe, eruption of the left foot (medial aspect), consisting of reddish-blue papules over the sides and palmar aspect of the left foot and index finger, associated with a moderate amount of brawny edema. No adenopathy or hepatosplenomegaly was present.

Laboratory Findings.—  The complete blood count was normal except for lymphocytosis of 52%. The results of the gastrointestinal series of x-rays was normal.

DISCUSSION  Dr. William B. Reed: I think the patient has to have a preceding edema to have this syndrome.Dr. Maximilian E. Obermayer: The initial manifestations of the disease appear not always on the lower extremities and not always in the usual form of indurated purple plaques. At

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