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August 1985

Kaposi's Sarcoma Localized to the Site of Previous Vascular Surgery

Arch Dermatol. 1985;121(8):969-970. doi:10.1001/archderm.1985.01660080023007

To the Editor.—  Kaposi's sarcoma is a rare malignant neoplasm that is thought to be multicentric in origin but classically presents with acral lesions affecting the feet, hands, and, occasionally, the ears or nose. The following case reflects an unusual localization of this disease.

Report of a Case.—  A 60-year-old African male renal transplant patient had a two-week history of nodular lesions on the right arm, overlying the surgical site of a previous polytef (GoreTex) graft implant.The patient was seen seven years previously with end-stage renal disease secondary to hypertension. Over the following three years he had numerous arteriovenous shunts performed to enable vascular access for dialysis. Four years prior to admission, he had a graft inserted in his right arm. There was no postoperative infection and the graft had functioned well for 3½ years until it thrombosed.A renal transplant from a 15-year-old assault victim was performed three years ago