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Kaposi's Hemorrhagic Sarcoma. Psoriasis. Presented by P.J. LoPresti, MD.
A 69-year-old woman of Italian descent was admitted to the hospital on Aug 20, 1971, with a history of weight loss of 15.8 kg in one year. Approximately six weeks prior to admission she noted a sudden onset of painful, large erythematous nodules on the extremities. The eruption began as small discrete grape-like lesions which became purple and caused 3 to 4+ edema of the legs.The patient had psoriasis three years previously, which was refractory to conservative therapy and required the use of methotrexate for a few months. Her family history was noncontributory.Dermatologic examination showed flattened purplish-brown lesions primarily involving the hands and feet. None of the initially raised indurated lesions, nor the 3+ ankle edema which was initially present, where seen. Results from laboratory examinations including a complete blood count, blood urea nitrogen, urinalysis, liver scan, spleen scan,