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August 1995

Kaposi's Sarcoma of the Bulbar Conjunctiva as an Initial Clinical Manifestation of Acquired Immunodeficiency Syndrome

Author Affiliations

Washington, DC

Arch Ophthalmol. 1995;113(8):978. doi:10.1001/archopht.1995.01100080028016

Kaposi's sarcoma (KS) is the most common neoplasm in patients with acquired immunodeficiency syndrome (AIDS). It is, however, very rare for ophthalmic KS to present as an initial manifestation of AIDS. To date, there have been only two reported cases of KS of the eyelid in patients with no other AIDS-defining illnesses.1,2 We report a unique case of KS involving the bulbar conjunctiva as an initial clinical manifestation of AIDS.

Report of a Case.  A 23-year-old bisexual black man who was human immunodeficiency virus-positive presented with complaints of redness, foreign body sensation, and a painless "growth" on the conjunctiva of his left eye. The lesion began as a small flat patch of redness on the inferior aspect of the left bulbar conjunctiva and progressed over an 8-month period to a size of 16×4 mm elevated to 4 mm at presentation (Figure 1). The patient also had a 4×5-mm flat

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