To the Editor.—
In the August 1985 issue of the Archives, Goldblum and his colleagues1 reported a case of pseudo-Kaposi's sarcoma of the hand associated with an iatrogenic arteriovenous fistula. These authors reviewed the reported complications of arteriovenous fistulas used for chronic hemodialysis. We recently examined a patient in whom an angiokeratoma developed overlying a traumatic arteriovenous fistula. This unusual association appears analogous to the occurrence of lymphangioma circumscriptum in the setting of damaged lymphatic drainage, and suggests that angiokeratoma can also represent a skin manifestation of acquired abnormal blood flow in underlying soft tissues.
Report of a Case.—
A falling door struck a moderately obese 33-year-old carpenter just above the left knee in August 1984, producing a 3 × 12-cm hematoma. The hematoma failed to resolve, and in September an orthopedic surgeon repaired avulsed vastus medialis fascia and evacuated a large organizing hematoma. Also encountered during surgery was a